NWRH Burnie HLS Operations Manual


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NORTH WEST REGIONAL HOSPITAL (BURNIE HOSPITAL) Helicopter Landing Site Operations Manual The NWRH Burnie HLS Operations Manual has been prepared to comply with HLS standards agreed by the NSW Ministry of Health and the NSW Ambulance, for Emergency Service Hospital Based Helicopter Landing Sites. This manual forms part of the NWRH Emergency Management Manuals, Plans & Protocols series is in line with Australian Standards AS 3745 & AS 4083, the Tasmanian Department of Health and Human Services Emergency Management Plan and best emergency management practice.

FOR ADDITIONAL INFORMATION CONTACT NWRH Hospital Helicopter Landing Site Reporting Officer

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Confidentiality Notice This publication is for the sole use of personnel authorised by the North West Regional Hospital (NWRH). No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means or distributed to any other person without prior written permission of NWRH HLSRO. NWRH HLSRO reserves the right to restrict distribution of the document and amendments. Applications for copies of the documentation and amendments need to provide details of their organisation and the reasons for their request. A fee may be charged by NWRH the HLSRO for organisations not included in the nominated distribution list. Requests for additional copies may be made via application to the HLS RO, North West Regional Hospital. Contact address: Helicopter Landing Site Reporting Officer North West Regional Hospital PO Box 258 Burnie Tasmania 7320 Telephone: Mobile: Email:

03 6493 6000 0418 530 674 [email protected]

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TABLE OF CONTENTS Confidentiality Notice ..................................................................................................... 2  Record of Amendment.................................................................................................... 6  Manual Distribution List ................................................................................................. 7  Explanation of Terms...................................................................................................... 8  Acronyms....................................................................................................................... 11  23: HLS Deck Emergency Exit 18: Access Path to Lift Lobby Figures .................... 13  PART A: GENERAL INFORMATION............................................................................. 14  1  BACKGROUND ...................................................................................................... 14  1.1  HLS Operations Manual Information.................................................... 14  1.2  HLS Contact List .............................................................................. 15  1.3  HLS Authorised Access...................................................................... 16  1.4  Requests to access HLS .................................................................... 16  1.5  Use of the HLS by other than AT Contracted Agencies ........................... 16  PART B: HLS DESIGN & HELICOPTERS IN USE ....................................................... 17  1  ADVISORY INFORMATION ................................................................................... 17  1.1  HLS Design Criteria .......................................................................... 17  1.2  Design Helicopter ............................................................................. 17  1.3  Helicopter Performance Requirements ................................................. 18  1.4  Helicopter Type in Current Use........................................................... 19  PART C: HLS LOCATION............................................................................................. 21  1  HLS LOCATION AND COORDINATES ................................................................ 21  1.1  Location ........................................................................................ 21  1.2  HLS Location, Coordinates and Elevation ............................................. 22  PART D: HLS DESIGN.................................................................................................. 24  1  HLS SPECIFICATIONS .......................................................................................... 24  1.1  Operational Weight Limits ................................................................. 24  1.2  HLS Dimensions and Markings ........................................................... 24  1.3  HLS Lighting ................................................................................... 24  1.4  HLS Orientation and Identification ...................................................... 27  1.5  HLS Deck Restrictions ....................................................................... 28  1.6  HLS Windsock (Wind Direction Indicator)............................................. 28  2  HLS FACILITIES..................................................................................................... 30  2.1  HLS Deck Markings .......................................................................... 30  2.2  HLS Lift Lobby ................................................................................. 31  2.3  HLS Communications Equipment ........................................................ 32  2.4  HLS Emergency Exits........................................................................ 34  2.5  HLS Safety and Specialist Equipment .................................................. 35  2.6  HLS Firefighting Equipment and Systems............................................. 35  2.6.1  HLS Fire Safety Systems Equipment ..................................................................... 36  2.6.2  Fire Detection and Alert Systems ......................................................................... 36  2.6.3  Fire Suppression Systems .................................................................................... 36  2.6.4  HLS Tie Down Points ............................................................................................ 36  PART E: AIRCRAFT OPERATING PROCEDURES ...................................................... 37  1  HLS OPERATING PROCEDURES ........................................................................ 37  1.1  Flightpaths and Obstacle Survey ........................................................ 37  1.2  HLS Category A and Performance Class 1 Operational Capability ............. 38  1.3  Adjacent Airspace Restrictions ........................................................... 38  1.4  Communication Frequencies ............................................................. 39  1.5  HLS Lighting Activation ..................................................................... 39  1.5.1  PAL System .......................................................................................................... 39  1.5.2  HLS Deck Flood Lights .......................................................................................... 41  1.6  Air Isolation Switch Activation ............................................................ 41  PART F: PATIENT NOTIFICATION PROCEDURES ..................................................... 42  1  NORMAL NOTIFICATION PROCEDURES............................................................ 42  1.1  Access ............................................................................................ 42  1.2  Ambulance Tasmania Notification of Impending HEMS Arrival ................. 42  1.4  NWRH Internal Notification of HEMS Arrival ......................................... 42  1.5  Communication with the Aircraft ........................................................ 43  NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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NWRH Emergency Communications .................................................... 43  Flight Crew ..................................................................................... 43 

PART G: HLS MANAGEMENT AND CLINICAL OPERATING PROCEDURES ........... 44  1  DAILY HLS OPERATIONS..................................................................................... 44  1.1  HLO Normal Shift Activities................................................................ 44  1.2  Notification of Helicopter Landing ....................................................... 44  1.3  Activation of HLS ............................................................................. 44  1.4  Communication during Helicopter Operations ....................................... 45  1.5  Pilot Activation of HLS Lights ............................................................. 45  1.6  Manual Control of Hospital HLS Identification Beacon ............................ 45  1.7  Actions on Helicopter Landing ............................................................ 46  1.8  Movement of Patients to or from the HLS ............................................ 46  1.8.1  Transferring a Patient TO a NWRH Area ............................................................... 46  1.8.2  Transferring a Patient FROM a NWRH Area .......................................................... 46  1.8.3  Transferring a Patient FROM an Ambulance Road Car .......................................... 46  1.8.4  Prolonged Patient Handover ................................................................................ 46  1.8.5  Additional Assistance Required ............................................................................ 47  2  LOADING, UNLOADING PARKING AND DEPARTURE ...................................... 47  2.1  Hot Unloading ................................................................................. 47  2.2  Medical Intervention by NWRH Staff ................................................... 47  2.3  Loading of NWRH Staff ..................................................................... 47  2.4  Action on Helicopter Parking .............................................................. 47  2.5  Actions on Helicopter Departure ......................................................... 48  PART H: EMERGENCY PROCEDURES ....................................................................... 49  1  EMERGENCY PROCEDURES ............................................................................... 49  1.1  Introduction .................................................................................... 49  1.2  Incident Command ........................................................................... 49  1.3  Reporting Emergencies on the HLS ..................................................... 49  1.4  Fire Suppression System ................................................................... 49  1.5  Helicopter Fire Risks ......................................................................... 49  1.6  Rescue Guidelines ............................................................................ 50  1.7  Emergencies on the HLS ................................................................... 50  1.7.1  Helicopter Crash (Code YELLOW: Helicopter Crash) ............................................. 50  1.7.2  Fuel Spill/Hazardous Materials Spill (Code YELLOW: Aviation Fuel Spill) ............. 51  1.7.3  Fire Alarms on the HLS (Respond RED) ................................................................ 51  1.7.4  Fire Incident (Code RED: HLS Confirmed) ............................................................ 51  1.7.5  Evacuation (Code ORANGE) ................................................................................. 52  1.7.6  Medical Emergencies ............................................................................................ 52  1.7.7  Other Emergencies ............................................................................................... 52  PART I: TRAINING ......................................................................................................... 53  1  TRAINING FOR SAFE HLS OPERATIONS ........................................................... 53  1.1  Introduction .................................................................................... 53  1.2  Training Responsibility ...................................................................... 53  1.3  Training Policy ................................................................................. 53  1.4  Safe HLS Operations Training Syllabus ................................................ 53  PART J: HLS MAINTENANCE ...................................................................................... 54  1  HLS MAINTENANCE PROVISIONS ...................................................................... 54  1.1  Introduction .................................................................................... 54  1.2  Maintenance Responsibility ................................................................ 54  1.3  Determining Suitability of HLS for Helicopter Operations ........................ 54  1.4  HLS Inspections ............................................................................... 54  1.4.1  Daily Serviceability Inspections ........................................................................... 54  1.4.2  HLS Inspection Ahead of Helicopter Arrival .......................................................... 55  1.4.3  HLS Technical Inspections ................................................................................... 55  1.4.4  Engineering Access to HLS ................................................................................... 56  1.5  HLS Approach and Departure Airspace Surveillance .............................. 56  1.6  Biannual VFR Approach and Departure Path Survey .............................. 57  1.7  Reporting HLS Out of Service............................................................. 57  PART K: AERODROME (HLS) REPORTING OFFICER ............................................... 59  1  CASR Part 175 Aeronautical Information Management..................................... 59  1.1  Part 175.D - Data Product Specification – Aeronautical Data Originators: Aerodrome Operator (Uncertified and Unregistered)........................................ 59  NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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Data Specification Requirements ........................................................ 59 

1.2.1  1.2.2  1.2.3  1.2.4  1.2.5  1.2.6 

Notification Date .................................................................................................. 59  Data Requirements .............................................................................................. 60  Electronic Format ................................................................................................. 60  Data Alterations and Error Tracking ..................................................................... 60  Data Verification .................................................................................................. 60  Data Integrity ...................................................................................................... 60 

APPENDICES ................................................................................................................. 61  Appendix 1: NWRH HLS Roles & Responsibilities ............................................. 61  Director of Corporate Services NW/HLSRO ....................................................................... 61  HLO .................................................................................................................................. 61  Officer: Engineering .......................................................................................................... 62  NWRH Emergency Department Clinical Nurse-in-Charge (NIC) ........................................ 62  Patient Flow Coordinator (PFC) & AHNM .......................................................................... 63  Attendants ........................................................................................................................ 63  Officer: Cleaning Supervisor ............................................................................................. 63  Security Staff .................................................................................................................... 63  Appendix 2: HLS Safety Guidelines ............................................................... 64  Helicopter Danger Zones .................................................................................................. 64  Rotor Blades ..................................................................................................................... 64  Helicopter Shapes ............................................................................................................. 64  General Safety Guidelines ................................................................................................. 64  Appendix 3: HLS Daily Inspection Template ................................................... 67  Appendix 4: HLS Arrival/Departure Inspection Template .................................. 69  Appendix 5: HLS Three Monthly Maintenance Inspection Template .................... 71  Appendix 6: Airservices Notification .............................................................. 73  6.1  Location Code Request ......................................................................................... 73  6.2  HLS Reporting Officer Notification Form .............................................................. 74  6.3  HLS Data Product Specification Form ................................................................... 76  Appendix 7: NWRH HLS PC1 VFR Approach and Departure Paths Survey ............ 77 

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Record of Amendment This manual reflects the operating procedures for the NWRH Burnie HLS. Revisions of the document are planned to be undertaken at intervals not exceeding 12 months. The manual may be revised at any time however in the event of any significant changes occurring in the information contained in the document. Whilst every attempt has been made to ensure the quality, efficiency and effectiveness of the document, users of the manual are invited to provide feedback regarding the procedures and any errors or omissions detected. Such feedback should be provided in the first instance to the HLO using the contact details listed. Version Number

Effective Date

1.0

03/04/2017

2.0 AL 0

2.0 AL 01

2.0 AL 02

Pages Amended

Inserted By (Signature)

Original Issue.

Date Inserted 03/04/2017

02/05/2017 02/05/2017

Reprint 05/05/2017

05/05/2017

Reprint 09/05/2017

09/05/2017

Reprint

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Manual Distribution List Unless noted otherwise electronic copies of this manual are provided. This manual and amendments is distributed by the HLO to the following individuals and organisations: Copy #

Position

Name

Contact details for distribution of manual

1

HLSRO

Simon Foster

Mobile: 0418 530 764 Telephone: 03 6493 6000 (Main Switch) Email: [email protected]

2 3

HLO (Security office) Manager Aeromedical and Medical Retrieval

Mobile: 0429 545 279 Peter Morgan

4

Director Aeromedical and Medical Retrieval

Dr. Simon Brown

5

Ambulance Regional Manager North West

Paul Templar

6

7

8

9 10 11

12

13

Director of Emergency Medicine Emergency Department: Medical Officer-inCharge ED NUM Ambulance Operations Manager Aeromedical Retrieval Nurse/s HEMS Contractor Rotor-Lift Operations Manager Tasmania Police Inspector Marine and Rescue

Dr. Marielle Ruigrok (rotating staff) Maxine Woller Norrie Hayes

Mobile: 0418 126 436 Telephone: 03 6230 8019 Email: [email protected] Mobile: 0419 796 678 Telephone: 03 6230 8015 Email: [email protected] Mobile: 0419 566 507 Telephone: 03 6434 6970 Email: [email protected] Mobile: 0412 744 759 Telephone: 03 6493 6334 Email: [email protected] Mobile: 0459 848 725 Mobile: 0412 744 759 Telephone: 03 6493 6337 Email: [email protected] Mobile: 0419 563 615 Telephone: 03 6620 2391 Email: [email protected]

Roster

Telephone: 1300 558 329

Susan Stanley

Mobile: 0418 133 081 Telephone: 03 6248 4117 Email: [email protected]

Lee Renshaw

Mobile: 0417 588 646 Telephone: 03 6173 2184 Email: [email protected]

Police Radio Room

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Explanation of Terms Aircraft: Refers to both aeroplanes (fixed wing) and helicopters (rotorcraft). Approach/Departure Path (VFR): The flight track helicopters follow when landing at or departing from the FATO of a HLS. The VFR approach and departure path extends outwards from the edge of the FATO with an obstacle free gradient of 2.5º or 4.5% or 1:22 vertical to horizontal, measured from the edge of the FATO, to a height initially of 500 feet above the FATO at a distance of ~3,500m The path may be curved left or right to avoid obstacles or to take advantage of a better approach or departure path. Changes in direction by day below 300 feet should be avoided and there should be no changes in direction below 500 feet at night. Design Helicopter: A generic helicopter that reflects the maximum weight, overall length, main rotor diameter, fuel load, landing gear dimensions, etc. of all helicopters expected to operate at a HLS or heliport. For the NWRH HLS the design helicopter is the Agusta AW139. The Agusta AW139 type reflects the new generation of Category A/Performance Class 1 capable helicopters used in HEMS and reflects the maximum weight and maximum contact load/minimum contact area. The overall length and rotor diameter are similar to the current and lesser performing Bell 412 models. Elevated Helicopter Landing Site: A HLS located on a roof top or some other elevated structure where the HLS deck incorporating the FATO is 2.5m or higher above the ground in the immediate vicinity. NWRH HLS is elevated. Final Approach and Takeoff Area (FATO): A defined area over which the final phase of the approach to a hover, or a landing is completed and from which the takeoff is initiated. FATO dimensions are 1.5 x Length Overall of the Design Helicopter and is rounded to 25m. The FATO area to be load bearing. Hazard to Air Navigation: Any object having a substantial adverse effect upon the safe and efficient use of the navigable airspace by aircraft, upon the operation of air navigation facilities, or upon existing or planned airport/heliport capacity. Helicopter Landing Site (HLS): The area of land, water or a structure used or intended to be used for the landing and takeoff of helicopters, together with appurtenant buildings and facilities. More than one HLS may be referred to as a Heliport. Helicopter Landing Site Elevation: At a HLS without a precision approach, the HLS elevation is the highest point of the FATO expressed as the distance above mean sea level. Helicopter Landing Site Reference Point (HRP): The geographic position of the HLS expressed as the latitude and longitude at the centre of the FATO. Hospital Helicopter Landing Site: A HLS limited to serving helicopters engaged in air ambulance, or other hospital related functions. Note: A designated helicopter landing site located at a hospital or medical facility is an emergency services HLS and not a medical emergency site. Length (Overall) (L): The distance from the tip of the main rotor tip plane path to the tip of the tail rotor tip plane path or the fin if further aft, of the Design Helicopter. Lift Off: To raise the helicopter into the air. NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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9 Movement: A landing or a lift off of a helicopter. Non Directional Beacon (NDB): A radio transmitter at a known location providing a radio signal to an aircraft automatic direction finder (ADF). Obstruction to Air Navigation: Any fixed or mobile object, including a parked helicopter, which impinges the approach/departure surface or the transitional surfaces. Performance Class 1 (PC1): Similar to Category A requirements. For a rotorcraft, means the class of rotorcraft operations where, in the event of failure of the critical power unit, performance is available to enable the rotorcraft to land within the rejected take-off distance available, or safely continue the flight to an appropriate landing area, depending on when the failure occurs. PC1 from a HLS requires CASA approved VFR approach and departure paths with obstacles marked and crew briefed. Performance Class 2 (PC2): For a rotorcraft, means the class of rotorcraft operations where, in the event of failure of the critical power unit, performance is available to enable the rotorcraft to safety continue the flight, except when the failure occurs early during the take-off manoeuvre, in which case a forced landing may be required. PC2 from a HLS requires CASA approved VFR approach and departure paths with obstacles marked and crew briefed. Performance Class 3 (PC3): For a rotorcraft, means the class of rotorcraft operations where, in the event of failure of the critical power unit at any time during the flight, a forced landing: a) in the case of multi-engine rotorcraft – may be required; or b) in the case of single-engine rotorcraft – will be required. Pilot Activated Lighting (PAL): A PAL system utilises a hospital based VHF radio and timed switching device, activated by the pilot via a VHF radio transmission on a pre-set frequency, to turn on the HLS lighting. Prior Permission Required (PPR) HLS: A HLS developed for exclusive use of the owner and persons authorized by the owner, i.e. a hospital based emergency services HLS. Note: The HLS owner and operator are to ensure that all pilots are thoroughly knowledgeable with the HLS (including such features as approach/departure path characteristics, preferred heading, facility limitations, lighting, obstacles in the area, size of the facility, PC1 survey etc.). Rotor Downwash: The volume of air moved downward by the action of the rotating main rotor blades. When this air strikes the ground or some other surface, it causes a turbulent outflow of air from beneath the helicopter. Safety Area: A defined area on a HLS surrounding the FATO intended to reduce the risk of damage to helicopters accidentally diverging from the FATO (0.3 x RD of the Design Helicopter). This area should be free of objects, other than those frangible mounted objects required for air navigation purposes. For the Design Helicopter, the Safety Area extends from the FATO by four metres providing an overlaid diameter of 33m.

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10 Safety Net: Surrounds the outer edge of a rooftop HLS. Should be a minimum of 1.5m wide, not project more than 25cm. above the HLS outer edge, have a load carrying capacity of not less than 122kg/m2, and be fastened to a solid structure. Shielded Obstruction: A proposed or existing obstruction that does not need to be marked or lit due to its close proximity to another obstruction whose highest point is at the same or higher elevation. Suitable Forced Landing Area: (a) For a flight of a rotorcraft: (i) Means an area of land on which the rotorcraft could make a forced landing with a reasonable expectation that there would be no injuries to persons in the rotorcraft or on the ground; and (ii) for a rotorcraft mentioned in (b) below, includes an area of water mentioned in (c) below. (b) For paragraph (a) (ii), the ‘rotorcraft’ is a rotorcraft that: (i) is being used to conduct a passenger transport operation; and (ii) either: (1) is equipped with emergency flotation equipment; or (2) has a type certificate or supplemental type certificate for landing on water. (c) For paragraph (a) (ii), the ‘area of water' is an area of water: (i) in which the rotorcraft could ditch with a reasonable expectation that there would be no injuries to persons in the rotorcraft or on the water; and (ii) that is: (1) adjacent to an offshore installation with search and rescue capabilities (2) adjacent to land (3) in a location, set out in the exposition or operations manual of the operator of the rotorcraft, that has search and rescue capabilities Take-off: To accelerate and commence climb at the relevant climb speed. Take-off Position: A load bearing, generally paved area, normally located on the centreline and at the edge of the TLOF, from which the helicopter takes off. Typically, there are two such positions at the edge of the TLOF, one for each of two takeoff or arrival directions. Touchdown and Lift-off Area (TLOF): A load bearing, generally paved area, normally centred in the FATO, on which the helicopter lands or takes off, and that provides ground effect for a helicopter rotor system. Size is based on 1 x main rotor diameter of Design Helicopter. As the TLOF is within the FATO, the area must be load bearing. Transitional Surfaces: Starts from the edges of the FATO parallel to the flight path centre line, and from the outer edges of approach/departure surface, and extends outwards at a slope of 2:1 (2 units horizontal in 1 unit vertical) for a distance of ~75m from the centreline. The transitional surfaces start at the edge of the FATO opposite the approach/departure surfaces and extend to the end of the approach/departure surface at ~3,500m. Unshielded Obstruction: A proposed or existing obstruction that may need to be marked or lit since it is not in close proximity to another marked and lit obstruction whose highest point is at the same or higher elevation.

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Acronyms AC ADF AEO AHNM AIP SUP AMR AS CAAP AT AT SOC CAOs CARs CASA CASR CDP CTAF DDO ED EMS ETA ETD FAA FATO FATO/TLOF FIA FIS GPS HAPI-PLASI HEMS HLO HLS HLSRO ICAO IIMS IMC IPU IWDI L MCP MOIC MOS MRI MTOW NDB NETS NFPA NPRM NUM NWRH OAA

Advisory Circular (USA FAA) Aeronautical Direction Finder All Engines Operating After Hours Nurse Manager Aeronautical Information Publication Supplement Aeromedical Retrieval Nurses (tasking from Communications Centre) Australian Standard Civil Aviation Advisory Publication (Australia) Ambulance Tasmania Ambulance Tasmania State Operations Centre Civil Aviation Orders (Australia) Civil Aviation Regulation 1988 (Australia) Civil Aviation Safety Authority (Australia) Civil Aviation Safety Regulation 1998 (Australia) Critical Decision Point (height) for Category A operations Common Traffic Advisory Frequency Design Development Overlay (for obstruction protection below VFR approach and departure paths) Emergency Department Emergency Medical Service Estimated Time of Arrival Estimated Time of Departure Federal Aviation Administration (USA) Final Approach and Take-off Area Coincident FATO and TLOF areas Flight Information Area Flight Information Service Global Positioning System Helicopter Approach Path Indicator - Pulse Light Approach Slope Indicator (see VGI) Helicopter Emergency Medical Service Helicopter Landing Site Officer Helicopter Landing Site Helicopter Landing Site (Aerodrome) Reporting Officer International Civil Aviation Association Incident Investigation Management System Instrument Meteorological Conditions Inpatient Unit Illuminated Wind Direction Indicator (aka Windsock) Length (overall), in relation to a helicopter Manual Call Point Medical Officer-in-Charge (ED) Manual of Standards (CASA) Magnetic Resonance Imagers Maximum Take Off Weight Non Directional Beacon Newborn and Paediatric Emergency Transport Service National Fire Protection Agency (USA) Notice of Proposed Rule Making Nurse Unit Manager North West Regional Hospital (Burnie Hospital) Obstacle Accountability Area

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12 OEI PAL PC1 PC2 PC3 PFC PIC PinS POB PPE PPR RD RMI SARPS SFLA TDPM TLOF UHF VFR VGI VHF VMC VOR WGS84

One Engine Inoperative Pilot Activated Lighting Performance Class 1 Performance Class 2 Performance Class 3 Patient Flow Coordinator Pilot-in-Command Point-in-Space Persons-on-board Personal Protection Equipment Prior Permission Required Rotor Diameter (Main) Remote Magnetic Indicator Magnetic compass with flux valve system Standards and Recommended Practices Developed by ICAO and promulgated in the Annexes to the Convention of International Civil Aviation Suitable Forced Landing Area Touchdown Positioning Marking (“H”) Touchdown and Lift Off Area Ultra High Frequency radio Visual Flight Rules Visual Guidance Indicator (helicopter visual approach guidance to a HLS) Very High Frequency radio Visual Meteorological Conditions Allows flight under VFR VHF Omni-directional Radio A ground radio VHF transmission for aircraft navigation purposes World Geodetic Survey 1984

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13 23: HLS Deck Emergency Exit 18: Access Path to Lift Lobby Figures 1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12: 13: 14: 15: 16: 17: 18: 19: 20: 21: 22: 23: 24: 25: 26: 27: 28: 29: 30: 31: 32: 33: 34:

Agusta AW139 in Rescue Medical Configuration. AW139 Dimensions. BK117 B-2 on Contract to Tasmania Police and Emergency Management. BK117 B-2 Dimensions. NWRH Relative to Wynyard/Burnie Airport. Locality Map of NWRH Relative to Burnie City Centre. Aerial of NWRH Relative to Burnie City Centre. Burnie Hospital HLS from Lift Lobby. Vertical of Burnie Hospital HLS. HLS Deck Flood Lights. Windsock. Hospital HLS Identification Beacon. Emergency Exit Lighting. Burnie Hospital HLS “H” Orientation to Magnetic North. MRI Marking. Windsock Location. HLS Deck Markings. Access Path to Lift Lobby. Lift Lobby. Access Door to HLS. VHF/UHF Base Station Radio. Portable Radio. HLS Deck Emergency Exit. HLS Deck Emergency Exit Stairs. 90 Litre Foam Extinguisher. Lift Lobby Positioned Fire Fighting Appliances. Plan of VFR Approach and Departure Path Directions. Aerial of VFR Approach and Departure Path Directions. PAL Control Unit. HLS Lighting Override Switches. One of Two Flood Lights Overlooking the Main Access Path. The Out of Service Marker. Helicopter Danger Areas. PC1 VFR Approach and Departure Path and Transitional Surface Profile.

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PART A: GENERAL INFORMATION 1

BACKGROUND

Ambulance Tasmania (AT) provides a helicopter for the provision of aeromedical retrieval, search, rescue and primary emergency recovery across Tasmania. For medical retrieval, major hospitals and many regional hospitals are equipped with an emergency service Helicopter Landing Site (HLS) located either on a hospital building rooftop or at ground level within the campus. At some more remote hospitals, the HLS may be outside the campus boundary. The Helicopter Emergency Medical Service (HEMS) is vested with the operational responsibility for hospital based HLSs in Tasmania. To ensure that operations at hospital HLSs are undertaken safely and efficiently, it is necessary that appropriate procedures are in place. This HLS Operations Manual covers the following main areas:           

Part A: General Information Part B: HLS Design & Helicopters in Use Part C: HLS Location Part D: HLS Design Part E: Aircraft Operating Procedures Part F: Patient Notification Procedures Part G: HLS Management and Clinical Operating Procedures Part H: Emergency Procedures Part I: Training Part J: HLS Maintenance Appendices

NWRH is the major referral public hospital within North West Tasmania. The hospital is level 4 and provides a wide range of accessible healthcare services to the public. The use of AT HEMS for patient transport to and from NWRH ensures that optimum health care can be provided for time critical patients. A dedicated Helicopter Landing Site Officer (HLO) is appointed to manage the HLS and to ensure efficient patient handling and HEMS movements 24 hours per day. The HLO in turn reports to an Airservices accepted HLS Reporting Officer (HLSRO). The HLO will liaise with and provide assistance to AT crew as required. Patients remain under the control of AT paramedic/s until handover. The HLS is primarily for the purpose of accommodating HEMS transfer of patients and equipment to and from NWRH. For ease of Airservices designation, the hospital is referred to as North West Regional Hospital (NWRH), and the HLS is referred to as Burnie HLS (Airservices code YXBR). There may be occasions when TAS requests access to the HLS for other than routine patient transfer, such as non-patient flights involving the collection of clinical staff and equipment, or for flight crew training purposes. In such cases TAS is to provide NWRH with appropriate advance notification of the requirement. In consultation with TAS, the HLO will provide assistance where possible.

1.1

HLS Operations Manual Information

This manual has been prepared for NWRH to provide details of the Burnie HLS Operating Procedures and associated requirements for the use of the Emergency Medical Service (EMS) HLS located at level 1 over the car park to the front of the NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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15 hospital main entrance. Under proposed CASA Part 139R, Medical Transport HLSs will require licensing (a certificate) including a requirement to hold a HLS Exposition (Operations Manual). It is intended that this document meet both the requirements of the Tasmanian Department of Health and Human Services and those of the CASA proposal. The procedures, instructions and advice detailed in this manual have been prepared to ensure the safety and standardisation of activities undertaken by AT HEMS and NWRH personnel in relation to the use of the HLS. The information includes technical details of the HLS and associated Performance Class 1 (PC1) surveyed VFR approach and departure paths and transitional surfaces which may be used by helicopter operators in determining their procedures for operations to and from the Burnie HLS. The information presented in the manual does not imply or assume operational requirements for HEMS flights using the Burnie HLS. Pursuant to the provisions and requirements of Civil Aviation Regulation 92(1), operational decisions relating to the use of the Burnie HLS are the responsibility of the PIC and may also be shared with the aircraft operator. The requirements of CAR 92(1) however do not absolve NWRH from its duty of care in relation to the management of the HLS facility. If the HLS is unsuitable for any reason, an alternative landing site such as Wynyard/Burnie Airport may be required.

1.2

HLS Contact List

This list contains the roles, names and contact details of key personnel involved in helicopter operations at the Burnie HLS, as well as radio frequencies. Role

Name & Contact Details

Switchboard Aeromedical Retrieval Nurse/s: Communications Centre Hobart Emergency Department: Medical Officer-InCharge Police Radio Room

Telephone: 03 6493 6000

NUM ED Clinical NIC After Hours Nurse Manager HLO (Security office) Security Supervisor HLS RO

HLS to Pilot Radio PAL

Telephone: 1 300 558 329

Mobile: 0459 848 725 131444 Telephone: 03 6493 6337 Mobile: 0412 744 759 Telephone: 03 6493 6343 ED Clinical NIC role is a rotating ED nursing leader position. Telephone: : 03 6493 6000 AHNM role is a rotating nursing management position. Mobile: 0429 545 279 Mobile: 0427 489 628 Monday -Friday Name: Simon Foster Mobile: 0418 530 764 Telephone: 03 6493 6000 (Main Switch) Email: [email protected] Frequency: Duplex digital Tx: 459.550 MHz Rx: 469.550 MHz CTCSS (Tone) TBA Hz (Pre-set NWRH Channel 2) Frequency: 123.05 MHz

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1.3

HLS Authorised Access

The HLS is a RESTRICTED area. Only the HLS RO, the HLO or designated representative can provide approval to access the HLS deck. There are a number of persons who will have reason to access the HLS deck and they are listed below. General access to the HLS (when helicopter operations are not being conducted) is via a dedicated lift in the Cancer Centre. General access to the HLS is restricted to the following personnel:  Staff o HLO/s o Specific Engineering and Environmental Services staff o Security staff o Other staff at the discretion of the HLO  Ambulance Tasmania (AT) o AT flight crew o AT road crews (only with approval of the AT flight crew) o AT staff at the discretion of the HLO and flight crew  Note: All personnel on the HLS must be escorted by the HLO or the HLO designate. If an aircraft is on the deck, the permission of the PIC is required.  Others o Trained and authorised engineering contractors o Other personnel from emergency services, other health services, etc.  Note: All non-authorised personnel on the HLS are escorted by the HLO or designate Operational access to the HLS is restricted to the following personnel:  Staff o HLO or designate

1.4

Requests to access HLS

All persons wishing to access the HLS and/or its facilities must obtain permission from the HLSRO (Director of Corporate Services) or the HLO as applicable. If permission has been granted, the HLO will either escort the person(s) themselves or provide details to a designate who will escort the person(s).

1.5

Use of the HLS by other than AT Contracted Agencies

All hospital based emergency service HLSs in Tasmania are considered vital State infrastructure and as such only the approved contracted HEMS operator with appropriately trained and qualified staff, is permitted to use the HLSs. The HLSs are strictly Prior Permission Only (PPO) via the AT State Operations Centre Duty Manager.

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PART B: HLS DESIGN & HELICOPTERS IN USE 1

ADVISORY INFORMATION

1.1

HLS Design Criteria

The Burnie HLS has been designed to meet the requirements of the MoH Guidelines for Hospital Helicopter Landing Sites in NSW. The Guidelines are based upon a number of international documents applicable to helicopter operations and current basic CASA advisory material. They include:     

ICAO Annex 6: Operation of Aircraft - Part III: International Operations Helicopters 6th Edition July 2004. ICAO Annex 14, Aerodromes - Volume II: Heliports 4th Edition 2013. ICAO Heliport Manual Doc 9261-AN/903 3rd. Edition in 1995. US FAA Advisory Circular AC 150/5390-2C, Heliport Design, (covers both operational and design criteria, particularly for hospital based HLSs in Chapter 4, Hospital Heliports) April 2012. CASA (CAAP) 92-2 (2) Guidelines for the Establishment and Operation of Onshore Helicopter Landing Sites.

The appropriate legislation at present for the use of HLSs is Civil Aviation Regulation (CAR) 92 which places the onus on the helicopter pilot to determine the suitability of a landing site.

1.2

Design Helicopter

For the purposes of HLS size and structural design, a “Design Helicopter” is used. The Design Helicopter is the Agusta AW139, the primary helicopter type in use for rescue and medical retrieval with Air Ambulance Victoria, Ambulance NSW and QG Air Queensland. The type reflects the new generation of helicopters now used in Australian HEMS. The AW139 is a high performance high speed helicopter capable of carrying two stretcher bound patients simultaneously. The AW139 is certified for Category A operations and is capable of operating with a working load under Category A and to meet Performance Class 1 (PC1) operational requirements from all HLS types when the gross weight is within Category A limits and the flight paths surveyed. See Figures 1 and 2.

Figure 1: Agusta AW139 in Rescue Medical Configuration NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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AW139 EXTERNAL DIMENSIONS

Figure 2: AW139 Dimensions

1.3

Helicopter Performance Requirements

ICAO Annex 6 Part III defines three performance categories for helicopters and the proposed CASA CASRs Part 133 and Part 138 are proposed to adopt the ICAO Performance Classes. HEMS operations in the Eastern States utilising the AW139 are conducted whenever possible, to Category A performance requirements (single engine accountability). At HLS where appropriate VFR approach and departure path surveys have been completed and are current, helicopters will operate to Performance Class 1 (PC1). Refer to the Explanation of Terms for the definitions of PC1, PC2 and PC3. By definition, single-engine helicopters can only operate to PC3. Similarly, the PC1 criteria can only be met by multi-engine helicopters. Most multi-engine helicopters are in Transport Category however due to a lower level of complexity, some twin-engine helicopters are in Normal Category. Generally speaking, Normal Category helicopters have limited PC1 capability and would therefore operate primarily under PC2.

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19 Burnie HLS has been future proofed and designed to meet the ICAO take-off climb gradient recommendations of 2.5° (4.5% or 1:22) along two VFR approach and departure paths a minimum of 150 degrees apart. ICAO Annex 14 Volume II notes that this minimum Take-Off Climb Surface gradient for PC1 operations is steeper than the minimum achievable OEI gradient for many older generation helicopters. The Design Helicopter operating PC1 achieves the required performance, however it should be recognised that a number of the older generation twin engine helicopters are either not certified for Category A and/or incapable of appropriate single engine accountability.

1.4

Helicopter Type in Current Use

At the time of commissioning of the Burnie HLS, the helicopter in use for HEMS within Tasmania was the BK117 B-2 installed with LTS101-850B-2 engines. This model of BK117 is certified for Category A Clear Heliport, Elevated and Ground Level Heliport operations. This helicopter however has size and performance limitations and on many occasions, may not be able to achieve Category A performance with a working load. It is assumed that with the passage of time, Tasmanian HEMS will align with other States and adopt a helicopter type with appropriate size and Category A performance. See Figures 3 and 4.

Figure 3: BK117 B-2 on Contract to Tasmania Police and Emergency Management

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BK117 B-2 EXTERNAL DIMENSIONS

Figure 4: BK117 B-2 Dimensions

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PART C: HLS LOCATION 1

HLS LOCATION AND COORDINATES

1.1

Location

NWRH is located ~2 km. WNW of the Burnie town centre and approximately 13 km. SE of Wynyard/Burnie Airport. The hospital campus is on the eastern side of Brickport Road. The area is an urban environment with primarily private housing surrounding the campus. See Figures 5 – 7.

Figure 5: NWRH Relative to Wynyard/Burnie Airport

Figure 6: Locality Map of NWRH Relative to Burnie City Centre

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Figure 7: Aerial of NWRH Relative to Burnie City Centre

1.2

HLS Location, Coordinates and Elevation

Burnie HLS is elevated at level 1 over a ground level carpark on the southern side, to the front of the hospital ED. See Figures 8 and 9.

Figure 8: Burnie Hospital HLS from Lift Lobby

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Figure 9: Vertical of Burnie Hospital HLS

HLS coordinates are: S 41° 02’ 49.38241” (GDA94) E 145° 52’ 49.51704” (GDA94) and Map Grid of Australia (MGA) 94 Zone 55 Easting: 405907.879 Northing: 5455416.123 HLS elevation: 248 feet AMSL

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PART D: HLS DESIGN 1

HLS SPECIFICATIONS

1.1

Operational Weight Limits

Burnie HLS is elevated at Level 1 over a ground level car park. It has been designed to meet the Design Helicopter static load of 6.8 tons. This limitation is marked on the deck in the static load and TLOF box. As the Category A performance requirements of the Design Helicopter are severely degraded above 6.4 tons, weights above 6.4 tons would not be anticipated.

1.2

HLS Dimensions and Markings

HLS dimensions are based upon the Design Helicopter. The HLS is circular and the primary dimensions are: 

FATO:

25m diameter area delineated by a 30cm wide dashed circular white line. The HLS deck is of concrete construction, is load bearing and has an overall diameter of 25m.



TLOF:

14m diameter area delineated by a 30cm wide continuous circular white line.



LLA:

A red square at the centre of the HLS measuring 9 x 9m and overlaid by a white cross with each arm 9m in length.



Safety Net:

A Safety Net 1.5m wide with a load carrying capacity exceeding 122 kg/m2 surrounds the HLS deck.



Safety Area:

The Safety Area surrounding the FATO extends 4m beyond the FATO boundary providing an overall diameter of 33m relative the HLS centre. As the deck diameter is 25m and the Safety Net is 1.5m wide, the Safety Area beyond the Safety Net is a further 2.5m.



Flight Paths:

Two VFR approach/departure paths are marked on the HLS deck between the TLOF and FATO boundary markings with yellow double headed arrows. Approach/departure paths in the NW sector are 115°/295°, and in the SE sector, 300°/120°, relative to True North.

1.3

HLS Lighting

HLS lighting consists of: 

FATO:

The perimeter of the FATO is defined by 12 uniformly spaced flush mounted green NVG compliant lights.



TLOF:

The perimeter of the TLOF is defined by 8 uniformly spaced flush mounted green NVG compliant lights.



Flight Paths:

The two VFR approach and departure path arrows each have three flush mounted yellow NVG compliant lights.

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25 

Flood lights:

Two flood lights are mounted on the south facing wall of the hospital to illuminate the HLS deck during patient loading and unloading. See Figure 10.



Windsock:

A yellow windsock is positioned on high ground to the SE of the HLS. It is illuminated from above by four white lights. A red steady obstruction light is positioned at the top of the windsock pole. See Figure 11.



Hospital HLS Identification Beacon:



Obstruction Lights:



Emergency Exit Lighting:

A low intensity Hospital HLS Identification Beacon flashing white/green/yellow at the rate of 30 to 45 flashes per minute and visible at a range of 10-12 nm., is located on the top of the lift lobby. See Figure 12. Low intensity steady red obstruction lights are positioned at the corners on top of the hospital roof and at various points on high obstructions around the hospital campus. Emergency exit lighting is located at both the lift lobby entrance and at the emergency stairs on the SW side of the HLS deck. See Figure 13.

Figure 10: HLS Deck Flood Lights

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Figure 11: Windsock

Figure 12: Hospital HLS Identification Beacon

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Figure 13: Emergency Exit Lighting

1.4

HLS Orientation and Identification

The HLS deck marking is orientated to Magnetic North, with the red “H” situated below the hospital name of BURNIE and Airservices Location Code “YXBR”. See Figure 14.

Figure 14: Burnie Hospital HLS “H” Orientation to Magnetic North NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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1.5

HLS Deck Restrictions

Burnie HLS is designed to accommodate a single HEMS helicopter to a static weight of 6.8 tons. It should be noted that the MRI is located at distances of 76 m. to the North of the HLS deck. See Figure 15.

Figure 15: MRI Marking

1.6

HLS Windsock (Wind Direction Indicator)

NWRH HLS has a yellow, 2.4m windsock mounted on a pole over the lift lobby/HLS reception room. It is illuminated at night via the PAL system, by four overhead mounted white lights. See Figure 16.

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Figure 16: Windsock Location

(New photo to be added following pole extension) .

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2

HLS FACILITIES

2.1

HLS Deck Markings

The HLS deck is sealed in a non-slip, hydrocarbon and U/V resistant neutral grey paint. HLS deck has a FATO of 25m diameter defined by a broken white circle. Within the FATO is a TLOF of 14m diameter defined by a full white circle. Both the FATO and TLOF have coincident flush mounted green perimeter lights. At the centre of the TLOF is a red square with a white cross and red “H”. At the lower right of the red square is a limit box denoting the maximum static weight limit in tons and the TLOF diameter in metres (main rotor diameter). The “H” and limit box are orientated to Magnetic North and the hospital name and Airservices identifier are positioned above the red square between the TLOF and FATO markings. Distance to the MRI in metres is marked on the deck. The path from the lift lobby is denoted by black and yellow chevrons. The emergency exit is located at the SW side of the HLS deck and is marked in yellow with warning advice. Two VFR approach and departure paths are shown with yellow two headed arrows with coincident flush mounted yellow lights. See Figure 17.

Figure 17: HLS Deck Markings

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2.2

HLS Lift Lobby

The HLS lobby is situated on the NE side of the HLS deck and is connected to the HLS by a path painted in yellow and black chevrons. The lobby contains a lift and a patient reception area. Within the patient reception area is the equipment required to provide personnel with safe access to the HLS (ear and eye protection), specialised equipment (stretchers and oxygen), portable firefighting appliances, and supportive mechanisms such as lighting controls and communication devices. See Figures 18 20.

Figure 18: Access Path to Lift Lobby

Figure 19: Lift Lobby

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Figure 20: Access Door to HLS

2.3

HLS Communications Equipment

NWRH has a radio base station within the hospital which is both analog VHF and digital UHF. The digital UHF band is between 403 - 470 MHz. The system used for helicopter to hospital and vice versa communication is UHF digital duplex TX 459.550 MHZ RX 469.550 MHz on NWRH Channel 2. Both the HLO and Security Department have access to hand held UHF radios for such communication. Mobile phone communication is also available as back-up. A fixed line phone is also located in the lift lobby. See Figures 21 and 22.

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Figure 21: VHF/UHF Base Station Radio

Figure 22: Portable Radio

 

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2.4

HLS Emergency Exits

The HLS deck has a normal access via the lift lobby. There is a single lift to the HLS deck level 1. Access to the deck is through a secure hinged glass door. There is an emergency exit on the SE side of the HLS deck, comprising of stairs descending via an airside secure gate to the ground level car park. See Figure 23 and 24.

Figure 23: HLS Deck Emergency Exit

Figure 24: HLS Deck Emergency Exit Stairs

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2.5

HLS Safety and Specialist Equipment

The HLS lobby area provides storage space for clinical, safety and personal protective equipment required to support the personnel attending the HLS. The HLO is responsible for checking that all equipment is present, in correct working order and available for immediate use. An equipment checklist is completed each morning shift by the HLO and any issues reported to the ED Clinical NUM immediately. Safety and PPE includes ear and eye protection, wet weather gear, gloves, handwash, sharps containers etc. Specialist equipment is to include oxygen cylinders and suction. Under normal circumstances, the helicopter will provide the stretcher trolley/gurney for stretcher transport between the ED and helicopter and vice versa. The hospital however has a stretcher trolley if required, which is stored in the ambulance bay.

2.6

HLS Firefighting Equipment and Systems

Firefighting equipment is positioned adjacent to the lift lobby and includes 1 x 3.5 kg CO2 fire extinguisher, 1 x 9.0 kg Dry Powder fire extinguisher, 1 x 90 litre foam fire extinguisher, a fire blanket and a fire hose. A high pressure fire hydrant for brigade use is situated below the HLS in the ground level car park. The 90 litre foam extinguisher is to be positioned at the end of the safety rail on the access path at the edge of the HLS deck for all helicopter movements. See Figures 25 and 26.

Figure 25: 90 Litre Foam Extinguisher

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Figure 26: Lift Lobby Positioned Fire Fighting Appliances

2.6.1 HLS Fire Safety Systems Equipment The HLS fire safety equipment includes:     

Fire detection and alert systems; Emergency exits; Emergency communications; Fire Extinguishers; and Fire Hydrant.

In the event of a confirmed aviation fire on the HLS, staff members are to follow the Fire Orders as follows:  

R: A:

 

C: E:

Remove themselves from immediate danger; Alert switchboard to the incident via the emergency notification number 222; If practical, fight fire with extinguisher; and Evacuate the area of non-essential personnel.

2.6.2 Fire Detection and Alert Systems The fire detection and alert systems are maintained by contractor Wormald. They include devices such as smoke and thermal detectors, manual call points (MCP), audible alarm and the overhead announcement system. In the event of fire alarm activation at the HLS, the following automated message is broadcast: 

“CODE RED HELICOPTER LANDING SITE”

2.6.3 Fire Suppression Systems The HLS deck is not installed with a fire suppression system.

2.6.4 HLS Tie Down Points The HLS deck is not installed with helicopter tie down points.

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PART E: AIRCRAFT OPERATING PROCEDURES 1

HLS OPERATING PROCEDURES

1.1

Flightpaths and Obstacle Survey

Two VFR approach and departure paths and transitional surfaces have been surveyed for both PC1 and DDO purposes to take account of obstacles whilst providing the maximum angle possible between the flight paths. Prevailing winds have been considered however throughout the year they are highly variable. The dominant determining factor is obstacles. The HLS deck markings are orientated to Magnetic North. The VFR approach and departure paths are delineated on the deck by double headed yellow arrows incorporating flush mounted yellow NVG compliant lights. Bearings for the VFR approach/departure paths in the NW sector are 115°/295° TRUE, and in the SE sector, 300°/120° TRUE, providing a spread of 175°. The aim is to have two VFR approach and departure paths between 150⁰ and 180⁰ apart. See Figures 27 and 28.

Figure 27: Plan of VFR Approach and Departure Path Directions

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Figure 28: Aerial of VFR Approach and Departure Path Directions

A Performance Class 1 survey of the VFR approach and departure paths and transitional surfaces produced no obstacles penetrating 2.5º (4.5%) along the flight path in the NW sector. Unfortunately due to topography and housing, obstacles in the SE sector within approximately 600 m. of the HLS, extend to ~5°. Flight paths were surveyed out to 3.5 km. Refer to Appendix 6 for the PC1 Survey Report.

1.2

HLS Category A and Performance Class 1 Operational Capability

The HLS has been designed to accommodate Category A elevated HLS operations for the Design Helicopter. The VFR approach and departure paths and transitional surfaces have been formerly surveyed to meet PC1 requirements to identify any obstacles likely to infringe 2.5º or 4.5% along the paths. No obstacles penetrate the NW flight path, however obstacles extend to ~ 5° along the SE sector flight path. This will require the HEMS operator to adjust weight and CDP to meet the performance requirements for Category A/PC1 operations.

1.3

Adjacent Airspace Restrictions

NWRH is located approximately 13 km. ESE of Wynyard/Burnie Airport. The airport services Regular Public Transport, Charter, Aerial Work and Private flights. The airport is uncontrolled and within a CTAF with a radius of 5 nm. from ground level to 3,000 feet. The CTAF is surrounded by uncontrolled Class G airspace. The Burnie HLS is relatively close to the CTAF. Other than aircraft operating notification calls, no clearances are required. Current information is contained within the ERSA and Enroute Charts. NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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1.4

Communication Frequencies

At the earliest opportunity but not less than 15 minutes prior to the ETA at NWRH, the HEMS aircraft is to make contact with Burnie on the NWRH UHF radio frequency advising the nature of the flight, any requirements upon landing including non-clinical, and the ETA. HLS call sign is “Burnie Hospital”. The status of the HLS, including lighting, the wind direction and an assessment of the weather conditions are to be passed to the aircraft at this time. Back-up communications between the aircraft and HLS will be via telephone. Contact between the HEMS aircraft clinical crew and clinical staff will normally occur via telephone as required. The following table lists the radio frequencies and telephone numbers in use. Role/Call Sign Aeromedical Retrieval Nurses: Communications Centre Hobart Medical OIC ED Clinical NIC Lift Lobby fixed line phone HEMS ↔ HLS via radio Call Signs: “Burnie Hospital” PAL

1.5

Name & Contact Details Telephone: 1 300 558 329 Mobile: 0459 848 725 Telephone: 03 6493 6343 Telephone: 03 6493 xxxx Frequency: Duplex digital Tx: 459.550 MHz Rx: 469.550 MHz CTCSS (Tone) TBA Hz (NWRH Channel 2) Frequency: 123.05 MHz

HLS Lighting Activation

1.5.1 PAL System With the exception of the HLS deck flood lights which are manually controlled, all other HLS aviation associated lighting is on a Pilot Activated Lighting (PAL) system circuit. The PAL control unit including the override switches is located on level 1 in the lift lobby. See Figures 29 and 30.

Figure 29: PAL Control Unit

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Figure 30: HLS Lighting Override Switches

The primary means of activating the PAL Control Unit is via radio from the aircraft. The PAL control unit is of US manufacture and does not follow the standard Australian system. For this Unit, activation is completed by the pilot pressing the VHF air band transmit button THREE times within a FIVE second period on a radio frequency of 123.05 MHz, which is allocated to the Burnie HLS PAL system by ACMA. There is no audio response on this unit. If possible, lights are to be activated 15 minutes prior to the estimated time of arrival at the HLS. Crew are to confirm with NWRH via radio/mobile, that the lights have activated. If a PAL malfunction occurs, the lights may be manually activated by the HLO or an appropriately trained person, from an override switch in the lift lobby. HLS flood lights for patient loading and unloading are manually controlled by the HLO and only turned ON following advice from a HEMS crew member after the helicopter has landed. Flood lights are to be turned OFF prior to engine start for departure, and following instruction from a HEMS crew member. The PAL system will illuminate the required lights for a pre-set period of 45 minutes. At present there is no 10 minute warning using flashing windsock lights. The ten minute warning modification is to be incorporated at a later date. Lights may be reactivated by the PIC, or manually activated by the HLO at the lift lobby. There are two separate lighting circuits serving the HLS. Circuit 1 is manually controlled only, and operates the flood lights mounted on the hospital outer wall. Circuit 2 is primarily PAL controlled, and operates the green deck FATO and TLOF lights, the yellow flight path direction lights, the wind sock illumination, red obstacle lights and the hospital HLS identification beacon. In the event that a problem occurs with the PAL switching, manual override switches are located on the front of the PAL Control Unit in the lift lobby. Due to the close proximity of the hospital HLS identification beacon to the HLS deck (a structural limitation at NWRH), a further manual override switch has been installed for NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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41 the HLS identification beacon. If the beacon is found to affect the PICs view through the NVGs when on approach, he is to contact the HLO and request the beacon be turned OFF. The HLO is to manually return the switch to ON, following the departure of the helicopter.

1.5.2 HLS Deck Flood Lights The floodlights are controlled via a switch located on the front of the PAL Control Unit on the lift lobby wall. The floodlights are on an independent manually controlled circuit and required to illuminate the HLS deck in the area between the lift lobby and the aircraft during patient loading and/or unloading only. The floodlights are to be activated and deactivated only by the HLO or an appropriately trained person, and only after instruction from a HEMS crew member when the aircraft is at rest on the HLS deck. The floodlights are only for the purpose of patient loading and unloading and are not to be illuminated during aircraft movement. Illuminating the flood lights when a pilot is on NVGs will result in the NVG screens/lenses blanking out and leading to a potentially dangerous situation. The floodlights may be activated briefly well in advance of the aircraft arrival to inspect the HLS deck. The lights must be switched off as soon as the inspection is complete and well in advance of the aircraft ETA. See Figure 31.

Figure 31: One of Two Flood Lights Overlooking the Main Access Path

1.6

Air Isolation Switch Activation

Not applicable at NWRH.

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PART F: PATIENT NOTIFICATION PROCEDURES 1

NORMAL NOTIFICATION PROCEDURES

1.1

Access

The Ambulance Tasmania State Operations Centre (AT SOC) is the agency that coordinates all medical retrievals in the State, irrespective of the mode of transportation. The AT SOC is available 24 Hours, 7 days a week. The direct telephone number is 1800 008 008, or the Retrieval Hotline. If possible, speak to the Duty Manager or AMR Nurse. Neonatal and paediatric retrievals are coordinated through the AT SOC. The telephone number is 1 800 008 008. AT SOC will notify NWRH of all proposed HLS arrivals. There is an AT communications phone in ED. The AT SOC will advise the ED of the helicopter ETA. Within the ED, the information is to be passed to AHNM/PFC who in turn will advise the hospital Switch Board. The Switch Board will contact all relevant staff via the paging system. The HLO is to be notified and the NWRH radio be changed to Channel 2.

1.2 Ambulance Tasmania Notification of Impending HEMS Arrival The AT SOC will contact the NWRH Emergency Department (ED) Nurse Unit Manager (NUM) or the duty Nurse-in-Charge (NIC) as appropriate, and advise on the impending helicopter arrival. The AT SOC will provide the following information:   

The ETA of the helicopter; The helicopter type (if there has been a type change); and The patient’s condition or the reason for the landing.

If a patient is to be collected from NWRH, AT SOC will advise whether the task is a:    

1.4

patient transfer; Aa AT patient to be transferred from a road car; or Another reason such as crew training; and The total number of persons on board.

NWRH Internal Notification of HEMS Arrival

The NWRH ED Clinical NIC will be notified by the PIC twenty minutes prior to the impending helicopter arrival. Upon notification of helicopter arrival the NIC will notify the Switch operator who will:   

Activate the Helicopter Alert Paging Group “Helicopter Alert: Helicopter landing in XXX minutes”; Ensure the HLO is aware of the alert and all the information provided; and Ensure the AHNM is aware of the intended patient location/destination especially if the receiving area is other than ED.

The Helicopter Alert Pager Group consists of the following NWRH staff members:  

HLO; Patient Flow Manager; and/or AHNM; and

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ED Clinical NIC.

If a patient is to be collected from NWRH HLS, the PFC or AHNM will advise whether the task is a:  

NWRH patient transfer; or An AT patient to be transferred from a road car.

The PFC will contact the NWRH area receiving or transferring a patient, with the relevant information.

1.5

Communication with the Aircraft

Communications between NWRH and the HEMS pilot will normally be via the AT SOC who will provide radio contact directly with the helicopter. The aircraft cell phone may be used as a back-up if required. Paramedic flight crew may also use the aircraft cell phone for necessary communication between either the HLO or the NIC or ED MOIC. Refer to Sub-section 1.2 for the contact number/s. On contact with the HLO, the ETA will be confirmed and advice on any special nonclinical requirements necessary for the patient transfer. The HLO will advise the pilot via AT SOC of the status of the HLS deck including lighting as appropriate, and provide an estimate of the wind direction and strength.

1.6

NWRH Emergency Communications

In the event of an emergency, the HLO as the designated HLS Team Leader (area Warden) shall immediately obtain the NWRH 2-way radio and communicate with the NWRH Incident Commander (Chief Warden) and other relevant personnel as per the NWRH Emergency Procedures Manual.

1.7

Flight Crew

The HEMS will normally be crewed by a pilot, flight paramedic, and one or two police SAR officers, depending on the mission. When configured for NETS, the crew may be the pilot, a police officer or flight paramedic, a doctor and a nurse, accompanied by the large NETS cot. The NETS nurse is trained in the operation of the cot and the helicopter loading and unloading procedures. Any movement or assistance is only to occur under the direct supervision of the HEMS crew. In the event of a retrieval evacuation, the crew will usually consist of a pilot, flight paramedic, doctor, and possibly a police officer. Due to the cooperative nature of Ambulance/Police Operations, it is possible that the aircraft may require reconfiguration to enable it to process an alternative task. In such a situation, the HEMS crew may need to arrange through the HLO, for the storage of excess equipment.

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PART G: HLS MANAGEMENT AND CLINICAL OPERATING PROCEDURES 1

DAILY HLS OPERATIONS

1.1

HLO Normal Shift Activities

At the start of each morning shift the HLO will:         

1.2

Access the HLS using the HLS Access Card; Conduct an inspection (the daily serviceability inspection) of the HLS and surrounds to ensure operational readiness (using the daily serviceability inspection checklist); Ensure that the PAL override switch is to AUTO; Ensure that the flood lights switch is set to OFF; Ensure that the hospital HLS identification beacon override switch is set to OFF; Complete a check of all equipment (oxygen, suction, patient trolley and personal protective equipment); Record the completed shift check in the HLS log book (any maintenance or security issues and action taken is to be noted in the HLS log book); Notify the AHNM and/or the PFC, that the HLS has been inspected and is ready for use; and The HLO will return to normal duties for the remainder of the shift (HLO must be ready to receive helicopters at all times).

Notification of Helicopter Landing

AT SOC will have notified the receiving clinical area of the task and the pending helicopter arrival.  

1.3

Inter-hospital transfers are managed as per normal clinically led processes. AT SOC will determine the method of transport (helicopter vs. road car).

Activation of HLS

The HLO and attendant/s are notified by the Helicopter Alert page of an impending helicopter landing. Information is to include:    

ETA of helicopter; The helicopter type and call-sign; The total number of POB; and Destination of any patients.

The HLO will attend the HLS and follow pre landing check protocol. The HLO will survey the HLS ensuring it is free from obstructions. The designated attendant will go to the ED and awaiting instructions. Two attendants will collect the road barriers from the manual handling store and proceed to the designated road block points. All staff required to access the HLS deck will don appropriate PPE such as hi-vis jacket, gloves, eye protection and hearing protection before leaving the lobby onto the HLS.

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1.4

If the HLO becomes aware of a PAL activation problem, or if notified by the PIC, the HLO will manually activate the PAL override switch. Prior to the helicopter commencing its approach, the PIC may request that the HLO manually turn OFF the hospital HLS identification beacon, should it be deemed to potentially cause a NVG issue. After the helicopter has landed and is shutting down, and only when notified by a HEMS crewmember, the flood lights may be illuminated. The HLO and attendants will not enter onto HLS without direction from the PIC.

Communication during Helicopter Operations

Communications between NWRH and the PIC will normally be via the AT SOC who will provide radio contact directly with the helicopter. The aircraft cell phone may be used as a back-up if required. Paramedic flight crew may also use the aircraft cell phone for necessary communication between either the HLO or the NIC or ED MOIC. Refer to Part E, Sub-section 1.4 for the contact number/s.

1.5  



1.6

Pilot Activation of HLS Lights The incoming aircraft will activate the HLS lighting via the PAL system approximately 15 – 20 minutes from landing and advise the HLO. If the pilot becomes aware of a problem with the PAL activation, the HLO will be requested to turn the lighting ON manually at the PAL override switch located in the lift lobby. Conversely, if the HLO becomes aware of a PAL activation problem, the PIC is to be advised immediately and the lights manually activated by the HLO.

Manual Control of Hospital HLS Identification Beacon

All HEMS operations at night are conducted by flight crew with the aid of Night Vision Goggles (NVG). Very bright lights have a deleterious effect on NVGs when in close proximity. At NWRH the beacon is located in close proximity to the HLS deck on the hospital roof above ED. There may be occasions when the light intensity from the beacon causes a NVG issue when on late finals to land. The HLS identification beacon is controlled via the PAL circuit. The PAL circuit will activate the beacon, however there is also a manual override switch provided in the lift lobby. The manual switch will override the PAL circuit and allow the beacon to be switched OFF by the HLO if requested. If the beacon has been manually turned OFF, it must be returned to the ON position after the helicopter has departed and prior to the HLO exiting the lift lobby and returning to other duties.

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1.7 



1.8

Actions on Helicopter Landing Following a helicopter landing on the deck, the HLO will wait until the rotors come to a complete stop, and ONLY after instruction from a HEMS crew member, approach the helicopter and at night, activate the HLS deck flood lights. The HLO is to ensure that the HLS is secure before escorting the AT flight crew and patient (if relevant) to the destination.

Movement of Patients to or from the HLS

1.8.1 Transferring a Patient TO a NWRH Area 

The HLO escorts the AT flight crew and patient (if relevant) to the NWRH destination o The patient remains under the care of AT flight crew until handover. o If the patient deteriorates during the transfer, the AT flight crew may request medical assistance for the patient. The HLO will immediately direct the patient and AT flight crew to the Emergency Department.

1.8.2 Transferring a Patient FROM a NWRH Area  

The HLO escorts the AT flight crew to collect the patient from the NWRH destination. If requested, the HLO assists with the loading of the patient into the helicopter by the AT flight crew. o As a priority, the HLO will escort and ensure the safety of any medical crew/passengers/family on the HLS. o The patient remains under the care of the AT flight crew from the point of handover. o If the patient deteriorates during the transfer, the AT flight crew may request medical assistance for the patient. The HLO will immediately direct the patient and AT flight crew to the Emergency Department. Should such assistance require a doctor at the helicopter, the HLO will be responsible for ensuring safety.

1.8.3 Transferring a Patient FROM an Ambulance Road Car Transferring a patient from an Ambulance road car will be undertaken via the Emergency Department and normal HLS procedures will be followed.

1.8.4 Prolonged Patient Handover On occasions there may be a prolonged delay, particularly in relation to the receipt of a patient for transfer. This is especially prevalent during a NETS transfer. The HLO will determine the expected delay from the AT flight crew and if appropriate leave the AT crew at the bedside and return to normal duties. With a NETS tasked helicopter, weight restrictions may result in only a police helicopter crew. On such occasions, a NWRH portable UHF radio handset or HLO mobile number is to be left with the relevant flight crew, with instructions to contact the HLO when they are ready to leave. NETS activities often require extended periods at the receiving hospital. In such a case, the helicopter may reposition to Wynyard/Burnie or Devonport Airport for refuelling, and return when advised by NWRH/AT SOC.

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1.8.5 Additional Assistance Required If notified by AT or the HEMS crew that additional staff are required to assist unloading, loading and/or moving the patient/equipment, the HLO can obtain assistance from:  



Other NWRH staff trained to work safely around aircraft; AT clinical crew in the Emergency Department; o AT paramedics are trained to work safely around aircraft and will assist patient loading/unloading under direction of the HEMS crew if requested and their workload allows. Non trained NWRH staff members can be utilised as a last resort; o Such staff members must operate under the supervision of the AT flight crew and HLO. o HLO must provide the staff member with a safety briefing. o HLO must maintain control of staff member at all times.

Any assisting staff must be under direction of the HEMS crew at all times.

2

LOADING, UNLOADING PARKING AND DEPARTURE

2.1

Hot Unloading

Hot unloading (movement of personnel and patients whilst the helicopter blades are turning and engines running) is not an approved procedure at the Burnie HLS and thus not permitted unless under exceptional justified circumstances. If such action does occur, all patient movement will be undertaken by the HEMS crew and the HLO is not permitted to enter the HLS.

2.2

Medical Intervention by NWRH Staff

AT patients remain under the care of AT flight crew until the handover, or in the case of a transfer from NWRH, after the patient handover has occurred. Should a patient deteriorate during movement through NWRH facilities, the HLO is to direct the AT flight crew and patient to the ED if required. It is intended that there will be no patient related medical emergency responses on the HLS deck, unless specifically requested by the HEMS crew.

2.3

Loading of NWRH Staff

It is possible that a NWRH medical assistance team or member of NWRH will be collected from NWRH by a helicopter in exceptional circumstances. In this circumstance the AT SOC will activate the HLS in the normal manner, advising the NIC of the occurrence. must contact the NWRH ED Clinical NIC to activate the helicopter landing procedures. The HLO will escort NWRH staff around the HLS and assist with the safe approach to the helicopter as required and approved by the HEMS crew.

2.4

Action on Helicopter Parking

In some circumstances the helicopter will be required to wait for a prolonged period of time, in contrast to the usual waiting time to affect a patient transfer. If the delay is known, the helicopter will most likely reposition to Wynyard/Burnie Airport and await a recall. It is possible however that it may remain on the HLS. All requests to land at Burnie HLS are to be made through the AT SOC Duty Manager who will be aware of competing needs to use the HLS. The AT SOC Duty Manager in conjunctions with the HLO, may require a helicopter vacate the HLS in the event of competing need. NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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2.5

The expected duration of parking; If the HLS should be secured and locked off; If the HLO needs to escort and/or remain with the AT flight crew; and The AT flight crew contact number so that access to the HLS can occur when required. Note that there are no helicopter tie down points on the Burnie HLS deck.

Actions on Helicopter Departure

The HLO will escort the AT flight crew back to the HLS and assist with loading of the patient, stretcher and/or equipment as directed by the AT flight crew. Dependent upon day or night operations, following departure of the helicopter, the HLO will:       

Ensure that the PAL override switch is to AUTO; Ensure that the flood lights switch is set to OFF; Ensure that the hospital HLS identification beacon override switch is set to OFF; Clean and replace any used equipment as required; Secure the HLS and notify the NWRH ED Clinical NIC that the helicopter has left and that the HLS is secure; Complete documentation; and Return to normal duties.

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PART H: EMERGENCY PROCEDURES 1

EMERGENCY PROCEDURES

1.1

Introduction

An emergency incident is any event that causes, or threatens to cause, or injury to AT/police crew, NWRH staff, HEMS crew or persons in or near the HLS and/or damage to the helicopter, the HLS environment and/or equipment. The HLS represents both the routine risks of the NWRH site and specific risks associated with aircraft. These risks include:      

Helicopter accident; Helicopter fuel spill (Hazardous materials spill); Helicopter fire and/or explosion; HLS structural collapse; HLS deck or locality fire; and Medical emergencies related to AT/police crew, NWRH staff, HEMS crew or persons attending the HLS.

All incidents on the HLS are managed using the same methodology and processes outlined in the NWRH Emergency Procedures Manual.

1.2

Incident Command

For incidents involving the HLS environment, the HLO will assume the Team Leader (Area Warden) role and take control of the HLS. In the event of emergency services being required (fire, explosion, fuel spill, etc.) the most senior Emergency Services Officer will take CONTROL of the incident and take on the role of Incident Controller. All NWRH personnel will follow the instructions of the Incident Controller.

1.3

Reporting Emergencies on the HLS

Any person becoming aware of an emergency on the HLS must immediately notify the NWRH emergency notification number 222, stating the type and location of the emergency.

1.4

Fire Suppression System

Fire suppression equipment includes fire extinguishers and a fire blanket held in the HLS deck lift lobby, a fire hose at the lift lobby wall and a high pressure fire hydrant for Brigade use, in the ground level car park below the HLS deck. Fire extinguishers at the lift lobby include:

  

1.5

1 x CO2 3.5 kg; 1 x Dry Powder 9.0 kg; and 1 x Foam 90 litres on a wheeled trolley.

Helicopter Fire Risks

In the event of a helicopter accident on the HLS deck, there is potential for a fire and/or explosion. The AW139 as the Design Helicopter for the HLS has the maximum fuel capacity of any helicopter type likely to use the HLS, with a maximum capacity of 1,588 litres. The BK 117 B-2 in current use has a fuel capacity in the main tanks of 598 litres. It is therefore possible but unlikely, that up to 1,500 litres of Jet A-1 fuel (kerosene) could be on-board a helicopter on the deck. Following an accident a tank NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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1.6

Rescue Guidelines

Aircraft accidents are extreme and novel events that may require actions that do not fall into a predictable pattern and that are unlikely to have been experienced by NWRH staff members. NWRH staff members, such as the HLO, should take a course of action based on experience, training and judgement, maintaining self-safety at all times. When in doubt, wait for emergency services to arrive to undertake the rescue. If survivors are in the wrecked aircraft and rescue appears feasible, remember:       

1.7

Only approach the aircraft if confident it is safe to do so and take a moment to ensure that no adverse risks are being taken; Do not approach the helicopter until the blades have stopped moving; The safest approach to the crash is generally from upwind, to the side of the aircraft fuselage; It will be easier to access the wreckage through hatches, rescue points, aircraft doors or emergency exits; Do not move any controls, handles or levers in the cockpit; Before trying to remove survivors, always unfasten or cut the seatbelt and shoulder harness and remember to disconnect the radio cord to the helmet or headset; and If survivors are wearing helmets leave them on until you have them clear of the wreckage.

Emergencies on the HLS

1.7.1 Helicopter Crash (Code YELLOW: Helicopter Crash) In the event of a helicopter crash:  NWRH staff members activate the emergency response system by calling the emergency notification number 222 and stating “CODE YELLOW: HELICOPTER CRASH”, and indicate the area affected.  The NWRH Switchboard then immediately notifies the Fire Brigade of the incident and location.  The HLO assumes the HLS Team Leader role and will: o Don a red vest, and collect a handheld UHF two-way radio; o Provide updates to the NWRH Incident Commander (PFC) via two-way radio; and o Direct emergency services to the incident site and provide all assistance as required (if safe to do so). In the event of a helicopter crash, NWRH staff are to follow the rescue guidelines discussed earlier.

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1.7.2 Fuel Spill/Hazardous Materials Spill (Code YELLOW: Aviation Fuel Spill) In the event of a helicopter fuel spill;  NWRH staff members activate the emergency response system by calling the emergency notification number 222 and stating “CODE YELLOW: AVIATION FUEL”, and indicate the area affected.  NWRH Switchboard notifies Fire Brigade of incident and location.  The HLO assumes the HLS Team Leader role and will: o Don a red vest, and collect a handheld UHF two-way radio; o Evacuate the area, removing any other staff from HLS; o Provide updates to the NWRH Incident Commander (PFC) via two-way radio; and o Direct emergency services to the incident site and provide all assistance as required (if safe to do so).  Note: Helicopters likely to use the HLS can carry up to ~1500 litres of fuel, however the current BK117 B-2 is limited to 598 litres in the main tanks. The BK117 B-2 can also be installed with an auxiliary tank adding a further 100 litres.

1.7.3 Fire Alarms on the HLS (Respond RED) In the event of an automated fire alarm at the HLS, the HLO assumes control of the HLS. If it is safe to do so, the HLO attends the HLS via the stairs, assumes the HLS Team Leader role, and will:    

Don a red vest, and collect a handheld UHF two-way radio; Search the HLS and lobby area for the cause of the alarm; Provide updates to the NWRH Incident Commander (PFC) via the two-way radio; and If the alarm is located on the HLS or in the lift lobby, direct and assist the Fire Brigade as required (if safe to do so).

1.7.4 Fire Incident (Code RED: HLS Confirmed) In the event of a fire at the HLS or lobby, NWRH staff members activate the emergency response system by calling the emergency notification number 222 and state “CODE RED: HLS FIRE CONFIRMED”, and indicate the area affected. All staff members in the area are to follow the NWRH Fire Orders. Note that NWRH staff members must not combat the fire unless wearing the correct PPE and unless competent/current in the use of the available fire extinguishers. The NWRH Switchboard is to immediately notify the Fire Brigade of the incident and location. If it is safe to do so the HLO attends the HLS via the stairs, assumes the HLS Team Leader role, and will:    

Don a red vest, and collect a handheld UHF two-way radio; Evacuate the area, removing any other staff or visitors from the HLS and car park area if safe to do so; Provide updates to the NWRH Incident Commander (PFC) via the two-way radio; and; Direct the Fire Brigade to the incident site and provide all assistance as required (if safe to do so).

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1.7.5 Evacuation (Code ORANGE) In the event an evacuation is required (due to fire, helicopter crash, fuel spill, etc.) from the HLS, NWRH staff members activate the emergency response system by calling the emergency notification number 222 and stating “CODE ORANGE: HLS EVACUATION”. If it is safe to do so, the HLO attends the HLS via the stairs, assumes the HLS Team Leader role, and will:    

Don a red vest, and collect a handheld UHF two-way radio; Evacuate the area, removing any other staff or visitors from the HLS if safe to do so; Provide updates to the NWRH Incident Commander (PFC) via the two-way radio; and; Direct the Fire Brigade to the incident site and provide all assistance as required (if safe to do so).

1.7.6 Medical Emergencies All patients remain under the care of AT flight crew from arrival on the HLS until the point of the handover, or from the handover until departure from the HLS. If the patient deteriorates during a transfer, the AT flight crew may request medical assistance for the patient. The HLO will immediately direct the patient and AT flight crew to the Emergency Department. NWRH medical assistance team (such as the Resuscitation Team) will not attend the HLS.

1.7.7 Other Emergencies For any emergency occurring on the HLS and not involving a helicopter, the incident will be managed as per the NWRH Emergency Procedures Manual.

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PART I: TRAINING 1

TRAINING FOR SAFE HLS OPERATIONS

1.1

Introduction

This information has been prepared to provide the basis for the initial and on-going training of the NWRH HLOs and any other designated personnel involved in helicopter operations on the Burnie HLS, such as the loading or unloading of patients, equipment or other personnel.

1.2

Training Responsibility

The responsibility for training of NWRH personnel in safe HLS operations is held by the HLSRO. AT will provide training support. Annual training be undertaken in conjunction with AT. In the event of a new HEMS contractor, AT will ensure that the operator is provided with a copy of the Burnie HLS Operations Manual and ensure that the operator’s Chief Pilot and Chief Aircrewman have fully briefed their respective crew on the operation of Burnie HLS. AT is responsible for ensuring that their staff and police flight crew receive a copy or have access to a current issue of the HLS Operations Manual and are appropriately briefed.

1.3

Training Policy

All NWRH staff members who are expected to work on the HLS during helicopter operations must receive training on safe HLS operations at the commencement of their duties and annual updates for the duration of their employment. The HLSRO will retain records of training sessions including the type of training delivered, dates and attendees.

1.4

Safe HLS Operations Training Syllabus

Training in the appropriate responses to a HLS Emergency situation will be provided to appropriate staff associated with the use of the HLS. Safe HLS operations training consist of:     

Orientation to the HLS; Communication and HLS facility equipment; How to manage emergencies; How to work safely around aircraft; and How to manage patient transfers from helicopters.

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PART J: HLS MAINTENANCE 1

HLS MAINTENANCE PROVISIONS

1.1

Introduction

The maintenance requirements for the Burnie HLS are critical to ensuring that helicopter operations can occur at any time of the day or night. It is especially important that features such as markings and lighting need to be maintained in good condition to ensure the HLS is safe and functional in poor operating conditions such as at night, and in marginal VFR conditions.

1.2

Maintenance Responsibility

It is the responsibility of NWRH to maintain the HLS and supporting infrastructure in an airworthy condition for helicopter use. In general the NWRH Maintenance Department is responsible for the maintenance of the HLS, lobby and supporting infrastructure facilities. The general condition of the HLS is also monitored by the HEMS pilots. Any concerns expressed by pilots must immediately be reported to the HLO.

1.3

Determining Suitability of HLS for Helicopter Operations

Final responsibility for determining the suitability of the HLS for the intended use is held by the helicopter PIC under the provisions of Civil Aviation Regulation (CAR) 92. Under some circumstances responsibility also rests with the operator. Such responsibility however does not absolve NWRH from its duty of care as manager of the emergency services HLS. CAR 92(1) prohibits the use of a place as an aerodrome unless the aircraft can land at or take-off from the place in safety.

1.4

HLS Inspections

1.4.1 Daily Serviceability Inspections The HLO is responsible for conducting an inspection of the HLS and surrounds to ensure operational readiness for an event that can occur without significant advanced notice. These inspections must occur at the commencement of each HLO shift. Serviceability inspections are also to be carried out after significant weather events such as severe wind or rain storms. The inspection of the HLS deck area is to confirm that:    

 

The surface of the HLS is clear of objects that could affect the safety or efficiency of the helicopter landing; The windsock is serviceable; Fire fighting appliances are in position and serviceable; HLS lighting is serviceable, including:  FATO,  TLOF,  Flight path,  Wind sock,  Hospital HLS identification beacon,  Low intensity obstacle lights, and  Flood lights. HLS perimeter Safety Net; Deck drains; and

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The airspace around the HLS and along the VFR approach and departure paths is free of obstacles/birds/bats etc. (On occasions birds and/or bats can remain airborne over the Lismore area for hours at a time.)

The HLS inspection also includes equipment located within the Security room and around the lift lobby reception room and at the foot of the emergency stairs, such as:        

Security monitoring equipment in the Security office; UHF base station radio at Switch; UHF portable radio/s; PAL control unit on level 1; Lift lobby to HLS deck access door; HLS lighting manual override switches in the lift lobby; Fire fighting appliances at the lift lobby; and Any required medical equipment.

The HLO is to record the inspection in the HLS log book. Should there be a mainteance issue, a Requisition for Work (RFW) is to be completed, noting the date and number in the HLS log book. Any concerns must be reported immediately.

1.4.2 HLS Inspection Ahead of Helicopter Arrival An inspection of the HLS and surrounds is to be completed prior to the arrival of a helicopter by the HLO or an appropriately trained deligate. The inspection is to confirm the operational and safety status of the HLS prior to all imminent helicopter arrivals. The content of the inspection is the same as that required for daily inspections as per Sub-section 1.4.1. In addition, a special lookout for any obstructions which could have appeared following the daily inspection.

1.4.3 HLS Technical Inspections The NWRH Maintenace Department is responsible for ensuring HLS inspections of technical equipment no less than each three months. The principle issues needing regular inspection and potential maintenance are:    

   

Below deck supporting structure; Windsock and windsock swivel mount; Windsock lights; All HLS lights including:  FATO,  TLOF,  Flight path,  Windsock,  Hospital HLS identification beacon,  Low intensity obstacle lights, and  Flood lights. HLS deck markings; Deck drains; Perimeter Safety Net; and Fire fighting systems and equipment.

Inspections are to be completed to a scheduled program, with all details logged and records appropriately maintained on file in the the Maintenance Department.

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1.4.4 Engineering Access to HLS Access to the HLS is restricted and personnel are required to follow NWRH maintenance and contractor procedures. Any maintenance or works being conducted on the HLS that may interfere with helicopter operations must be approved and communicated. Non-operational access to the HLS can be of two types: Type A Access (Visual inspection and non-intrusive testing) Access for visual inspection and non-intrusive testing where personnel can evacuate from the HLS within five minutes of notification, leaving it fully operational.    



Maintenance staff shall contact the HLSRO to gain approval to access the HLS (The HLSRO will normally decline access if a landing is currently planned). A minimum of two staff are required during HLS works at all times. Maintenance staff and Contractors will require an authorized Roof Access Permit to access the HLS for Type A access. If a helicopter landing is notified while personnel are on the HLS, the HLO will issue instructions to evacuate the HLS. At this time the Roof Access Permit will be rescinded and a new Roof Access Permit will be required after helicopter operations are completed. Maintenance staff must inform the HLO when they leave the HLS after access.

Type B Access (Intrusive works) Intrusive work at the HLS is where personnel undertaking works on the HLS are unable to evacuate the HLS within five minutes of notification, with the HLS remaining non-operational. This may be due to Planned Work or Breakdown Work in an emergency situation.      

1.5

Maintenance will contact the HLSRO, normally giving a minimum of 48 hours’ notice, and arrange a time to close the HLS while maintenance activities are undertaken. The HLSRO will inform the following personnel of the temporary closure. o AT. o Relevant NWRH staff. A minimum of two staff are required during HLS works at all times. Maintenance staff and Contractors will require an authorized Roof Access Permit to access the HLS for Type B access. On completion of intrusive works, maintenance staff shall complete an inspection, confirm that the HLS is available for use and inform the HLO that maintenance activities are completed. The HLSRO will inform the following personnel that the HLS is again operational. o AT. o Relevant NWRH staff.

HLS Approach and Departure Airspace Surveillance

A formal Performance Class 1 (PC1) VFR approach/departure path and transitional surface survey has been completed along both flight paths. It noted that there were no obstacles penetrating 2.5° (4.5%) in the NW sector flight paths, however obstructions up to ~5° involving topography and buildings were present in the SE sector within approximately 600 m. of the HLS. It is however incumbant upon AT, its HEMS providers and NWRH, to constantly review the adjacent airspace for potential

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57 obstructions. If it is considered that there may be an obstruction or potential obstruction, AT and the NWRH HLO are to be immediately advised. Visual checks of the approach and departure paths to the HLS are to include checks for birds, bats, cranes, smoke, fog patches etc.

1.6

Biannual VFR Approach and Departure Path Survey

A detailed aeronautical survey of the HLS and environs including the VFR approach and departure paths and transitional surfaces within the obstacle assessment area boundaries, is to be undertaken every two years to ensure the HLS operational areas remain clear of obstacles and to meet the CASA PC1 survey requirements. The survey is to be conducted by a licensed surveyor suitably qualified and experienced in the conduct of airspace surveys, and meeting the CASA rotary wing PC1 requirements. The results of the survey need to be analysed and provided to AT for subsequent advice to the HEMS providers.

1.7

Reporting HLS Out of Service

If NWRH personnel become aware of any serviceability problem or issue that could require closure of the HLS, the HLO is to be immediately advised. In the event that the HLO is unavailable, the HLSRO and the NIC are to be immediately notified. The HLO will then investigate the matter and consult with appropriate NWRH personnel including Maintenance and the HLSRO, to determine if the operation of the HLS may genuinely be affected. The HLSRO will then notify AT, ED Clinical NIC and ED MOIC, PFC and/or AHNM as applicable, of the closure and the expected rectification time frame. In turn, when the HLS is again serviceable, the HLSRO will notify AT, ED Clinical NIC and ED MOIC, PFC and/or AHNM as applicable, of the return to service. If the HLS is to be out of service for more than a day, the HLS is to be marked as unserviceable with a white or yellow diagonal cross. Yellow is preferable. This marker is clearly visible from the air and shows that the HLS is “Out of Service”. The bars of the cross are to be a minimum of 9 metres long by 40 cm wide. The cross (panels) may be of a canvas or vinal material and must have sufficient strength to withstand the elements for the period of time in use. The panels are stored in a container and controlled by the HLO. Panels may be designed to tie off at the edge of the Safety Net. See Figure 32. AT is to be advised of the deployment of the Out of Service cross and again advised when it is removed and the HLS serviceable. It will also be the responsibility of the HLSRO as the designated Airservice HLS Reporting Officer, to advise Airservices the the HLS is out-of-commission.

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Figure 32: The Out of Service Marker

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PART K: AERODROME (HLS) REPORTING OFFICER 1

CASR Part 175 Aeronautical Information Management

1.1

Part 175.D - Data Product Specification – Aeronautical Data Originators: Aerodrome Operator (Uncertified and Unregistered)

The Air Services Act 1995, provides aeronautical data/information necessary for the safety, regularity and efficiency of air navigation, giving effect to Australia’s obligation under the Chicago Convention on International Civil Aviation. Civil Aviation Safety Regulation (CASR) Part 175 under the Civil Aviation Act 1988 establishes standards and requirements for the quality and integrity of data and information used in air navigation, in particular as published in the Aeronautical Information Publication (AIP), on aeronautical charts and contained within aeronautical navigation databases. Under CASR Part 175 Airservices must provide an aeronautical data originator (airport or HLS owner) with a Data Product Specification (DPS), so that aeronautical data can be obtained through a quality controlled process. Part 175.D prescribes the information exchange protocols for the submission, modification and withdrawal of aeronautical data or information which may be published in the Integrated Aeronautical Information Publication (IAIP), or Aeronautical Datasets. For the provision of data, Part 175 requires the nomination of an Aerodrome Reporting Officer or in the case of a HLS, a HLS Reporting Officer (HLSRO). The LHD is therefore to ensure that the relevant hospital provides Airservices with the details of the nominated HLS Reporting Office through the submission of an Aeronautical Data Originator Airservices Notification Form. A copy of the form complete with the applicable areas to be completed and shaded in yellow, is attached at Appendix 6, 6.2. Each hospital HLS is to be allocated an Airservices Location Code in order that aeronautical data may be linked. A copy of the Airservices Location Code Request is attached at Appendix 6, 6.1. The HLS Reporting Officer is to submit a return to Airservices at any time that a major change in the status of the HLS occurs. Additionally, an annual HLS Data Return is to be submitted confirming the status of the HLS. An example of the return form completed with the NWRH HLS information is attached at Appendix 6, 6.3.

1.2

Data Specification Requirements

1.2.1 Notification Date Information or data can be provided or submitted to Airservices at any time throughout the year. However, the data must be submitted by specific cut-off dates in order to be published in the next available amendment, as detailed in the publication calendar: http://www.airservicesaustralia.com/publications/document-amendment-calendar/ The Airservices Aeronautical Database is updated in line with the Aeronautical Information Regulation and Control (AIRAC) date; incorporating the new data into Airservices publications every three to six months. The AIRAC Effective Date is the internationally agreed date at which time-critical aeronautical documentation, the IAIP, becomes effective. Consequently, CASR Part NWRH (Burnie) HLS Operations Manual UNCONTROLLED COPY IF PRINTED

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60 175 has regulatory obligations for the AIS Provider and for the Data originator (the LHD through the respective hospital) in respect of the AIRAC timing and change management processes. Aeronautical Data is to be supplied to Airservices for publication in the IAIP and on Aeronautical Charts in alignment with the Aeronautical Information Regulation and Control (AIRAC) list of Effective Dates.

1.2.2 Data Requirements Data entry format for aeronautical information used in AIP Products is defined in Appendix 6. Incomplete information may be returned to the proponent for clarification purposes.

1.2.3 Electronic Format The authenticated electronic means by which aeronautical information and data is supplied to Airservices is by email. The common method to ensure that Airservices can readily identify any changes from existing published data or information is to use “markup” format to indicate where changes are required or to provide complete new text.

1.2.4 Data Alterations and Error Tracking Requests for alterations to the aeronautical data are to be communicated to Airservices by email request. The full format for aerodromes as specified in Appendix A, to Part 175.D Data Product Specification – Aeronautical Data Originators: Aerodrome Operator (Uncertified and Unregistered) via: [email protected]. For the NWRH HLS, refer to Appendix 6, 6.3. Airservices should be advised of any new, amended, or deleted information. Airservices should be notified when an error has occurred in the data or information. Errors detected in the data must also be notified to: [email protected]

1.2.5 Data Verification Data Originators must nominate to Airservices, persons who have the knowledge and competence to carry out the responsibilities of an “AIP responsible person”. The registration form is available for this purpose and can be requested from Airservices via email: [email protected]. Refer to Appendix 6. This form is also used for registration of NOTAM authorised person – refer to information on the registration form. At present, there is no requirement for NWRH to have a NOTAM authorised person.

1.2.6 Data Integrity Source data can only be accepted from the registered Data Originator i.e. HLS operator. The HLS operator has an enduring responsibility for the accuracy levels of the data or information, and must ensure that the data is reviewed at least annually and immediately inform Airservices of any changes to the data. That is, there is a requirement to submit an annual update of the HLS situation to Airservices.

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APPENDICES Appendix 1: NWRH HLS Roles & Responsibilities Director of Corporate Services NW/HLSRO  

Reports to: Executive Director Corporate Services Responsibilities: Administrative control of all issues in regard to NWRH Burnie HLS including: o Liaison with external agencies in all administrative matters in regard to the Burnie HLS. o Ensuring changes to legislative and regulatory requirements are reviewed and when necessary implemented in regard to the Burnie HLS. o Reviewing all accidents, incidents and dangerous occurrences resulting from the operation of a helicopter in regard to the Burnie HLS and implementing all necessary actions to prevent a similar occurrence. o Providing the necessary resources to deal with an emergency occurrence in regard to the Burnie HLS.

HLO  

Reports to: Director of Corporate Services. (HLSRO) Responsibilities: Operational control of the day-to-day activities in regard to Burnie HLS including: o Monitoring and ensuring operational effectiveness and efficiency of Burnie HLS. o Ensuring NWRH personnel with HLS responsibilities are trained to carry out their assigned duties. o Developing suitable training programs to ensure the operational efficiency of NWRH personnel in receiving and transferring helicopter patients. o Developing suitable training programs to ensure the safety of NWRH personnel when working in close proximity to helicopters. o Providing adequate supervision of work practices in regard to Burnie HLS. o Ensuring that the necessary responses are activated to deal with an emergency occurrence in regard to Burnie HLS. o Operational Control of the day-to-day activities in regard to Burnie HLS including:  Coordination of requests for limited access to Burnie HLS through the Director of Corporate Services NW.  Reviewing work and administrative processes and practices to ensure that all programs remain current with and appropriate to operational circumstances.  Investigating and reporting all accidents, incidents and dangerous occurrences resulting from the operation of a helicopter in regard to Burnie HLS. o At commencement of shift: Completes visual survey of HLS and HLS lobby equipment. Record completed check. o Report any maintenance issues to engineering department & complete a BEIMS Requisition for Works (RFW). o Report any maintenance or security issues and action taken in log book. o Ensures all necessary equipment (oxygen, suction, patient trolley and staff protective equipment) is prepared for unloading of patient from helicopter. o Notifies ED Clinical NIC of readiness of HLS. o Is readily available for the entire shift activation of HLS. o Ahead of helicopter arrival: o On notification of impending helicopter landing via Helicopter Alert page attends the HLS. o Ensure emergency communication devices (NWRH UHF radio) are switched on and monitors pilot communications.

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62 o o o o

o o o o o o o

o o o

Accesses the HLS and survey the HLS ensuring it is free from obstructions. Dons PPE and fastens down or removes any loose clothing items. Awaits helicopter landing. On helicopter landing: By day, waits for rotors to completely stop, and after instruction from pilot/crew, approaches helicopter. By night, waits for rotors to completely stop, and after instruction from pilot/crew, activated the deck flood lights and approaches helicopter. Assists AT flight crew with unloading of patient and/or equipment. Ensures HLS secure before escorting AT flight clinical crew +/- patient to destination. Assists AT flight crew with patient transfer. Escorts AT flight crew +/- patient back to HLS. Assists AT flight crew to load patient &/or equipment. After the patient is loaded and the crew have indicated, turn off the HLS deck flood lights. After helicopter departs: Ensure HLS is secure after helicopter has departed, equipment is returned, cleaned and/or replaced and the HLS is ready for use. Report to the ED Clinical NIC that HLS is secured and ready for use. In emergencies: Assumes the role of HLS Team Leader (Area Warden). In addition: Attend yearly safe HLS operations training provided by AT.

Officer: Engineering  

Reports to: Director Corporate Services Responsibilities: Management of all maintenance issues in regard to Burnie HLS including: o Preventative maintenance. o Maintenance requests from the HLO or their delegate. o Providing resources to manage maintenance related issues that may impact on the safe operations or lead to the closure of the HLS.

NWRH Emergency Department Clinical Nurse-in-Charge (NIC)  

Reports to: Co-Director of Nursing via the PFC or AHNM. Responsibilities: First point of contact and notification of helicopter landing including: Receiving notification from Ambulance NSW including  The estimated arrival time of the helicopter.  The helicopter type.  The reason for the landing Dropping a patient off.  To pick up a NWRH transfer.  To pick up a AT patient directly (from road car).  Other reasons (pilot familiarisation with the facilities for example).  The total number of persons on board the helicopter. These details will be recorded in the Helicopter Log book located in ED at the Hub desk.

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63 The ED Clinical NIC will then: o Activate the Helicopter Alert Group via a phone call to the switchboard and state: “Helicopter Alert: Helicopter landing in XXX minutes”. o Ensure the HLO is aware of the alert and all the information provided. o Receive calls from HLO reporting that the HLS has been checked and is ready for use. o Notify the PFC or AHNM of patient location for delivery or pick up e.g. ED/CCD. o Notify the HLO of issues or concerns related to the HLS, personnel or safe helicopter operations as advised by AT.

Patient Flow Coordinator (PFC) & AHNM  

Reports to: Co-Director Nursing. Responsibilities: Ensuring patient transfers and movements are managed safely and in accordance with NWRH procedures as well as ensuring the readiness and proper functioning of the Burnie HLS including: o Receive phone call or text from HLO reporting that the routine shift check of the HLS has been completed. o Upon notification of a pending helicopter arrival the PFC or AHNM will ensure the departing or receiving ward area is aware and preparing for the patient transfer or receipt. o Once the helicopter has departed receiving a call from the HLO detailing that the HLS has been restored to a ready condition. o Escalate any concerns to the NWRH Executive through normal reporting channels.

Attendants  

Reports to: Co-Director of Nursing. Responsibilities: On receiving notification of the imminent landing of a helicopter the attendant/s will: o (First attendant): Report to the ED and await further instructions. o (Second attendant): Set up road barriers at the car park under the HLS. o Follow all directions of the HLO. o Ensure all equipment necessary for the safe and efficient transport or movement of patients is available and ready for immediate use. o Ensure safe and efficient transport and movement of patients and retrieval teams to and from the HLS as required. o Wear all mandatory PPE.

Officer: Cleaning Supervisor  

Reports to: Director Corporate Services NW. Responsibilities: Management of any cleaning issues in regard to Burnie HLS noting that: o Cleaning of the HLS lobby is considered a “special clean” that only needs to be carried out at the request of the HLO. o Environmental Services personnel are not authorised to proceed beyond the HLS lobby at any time.

Security Staff  

Reports to: Manager Security. Responsibilities: Act as HLO in the absence of the HLO/Manager Security and manage any security related issues in regard to Burnie HLS noting that: o Security personnel that are not HLS trained are not authorised to proceed beyond the HLS lobby at any time.

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64

Appendix 2: HLS Safety Guidelines The purpose of the HLS Safety Guidelines is to give a basic understanding of where the potential dangers exist, and how to work around helicopters safely and effectively. This is a guide only and is not a substitute for attendance at a training session to work safely around aircraft. Note: Only designated NWRH staff members are allowed to enter the HLS or HLS lobby at ANY time. Only personnel trained in safe helicopter operations are allowed near the HLS during helicopter operations. When working around aircraft such as helicopters personnel MUST remain aware of the DANGERS at ALL TIMES! The procedures and cautions applied in the vicinity of a helicopter should be the same whether the helicopter engines are running or have shut down.

Helicopter Danger Zones The shape, size and behaviour of helicopters create a potentially dangerous situation, particularly at night when visibility is reduced and in situations where the clinical needs of a patient may distract the attention of personnel attending the helicopter.

Rotor Blades The greatest threat when operating around a helicopter is the turning rotor blades. The main rotor is the large one on top of the helicopter and the tail rotor is the smaller one at the rear of the helicopter. When stationary, the blades of the main rotor can droop down with a minimum clearance approaching the height of an adult. When the rotors are turning, the high speed tail rotor is virtually invisible. It is good practice regardless of the type of helicopter, to remove any head wear, and bend the head down when entering or departing under a turning main rotor disk. Under no circumstances are personnel on the deck, other than AT flight crew, to enter under the rotor disk aft of the main cabin area. Physical contact with either main or tail rotor when turning will result in serious injury or DEATH! If rotors are turning, additional hazards are generated by the volume and velocity of air in the rotor downwash, the noise generated by the rotors and the engines and the associated difficulties for spoken communication in such circumstances.

Helicopter Shapes A range of helicopter types may operate at the Burnie HLS with each having different physical characteristics. Differences relate to the use of skids or wheels, the location of protrusions such as horizontal stabilisers from the fuselage and different locations and orientations of doors. In general terms, helicopters can provide a number of things to trip over or bump into.

General Safety Guidelines In general it is important to remember that EVERY helicopter operation is potentially a dangerous activity that requires the FULL attention of personnel on the HLS and/or in the helicopter.

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65 Only designated and trained NWRH personnel are allowed in the HLS lobby or onto the HLS deck during safe helicopter operations. Repeated and practiced procedures do not reduce the need to exercise caution at all times. NWRH HLOs and associated staff must not approach the helicopter after landing until the rotors have stopped turning and a HEMS crew member has signaled that it is safe for them to approach. Remain clear of the helicopter unless a crew member accompanies you. No hats of any style are to be worn on the HLS deck. Care is to be taken to ensure no loose articles are carried on the deck. The primary DANGER ZONE is at the rear of the helicopter. Under no circumstances is the helicopter to be approached from the rear or a departure from the aircraft made to the rear, as indicated in the red area in Figure 33 below.

Figure 33: Helicopter Danger Areas

Do not carry equipment such as IV drips above the head or lift your arms above your shoulders. Only approach the helicopter forward of the mid-section. Outside of this frontal zone means you are increasingly working toward a blind area and the ever threatening, nearly invisible, tail rotor. Working in a zone roughly between a ten o’clock and two o’clock position from the front of the helicopter means the pilot can see you at all times.

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66 Never try to help crew member’s open or close doors. Always follow the crew’s directions when loading patients. Unauthorized persons are PROHIBITED from the HLS and must be kept from the HLS area. NO SMOKING near the aircraft (NWRH is a NON SMOKING environment). NEVER shine a white light directly towards the aircraft, for this can blind the pilot. Items such as bedding, clothing, etc. need to be secured before approaching the helicopter. If anything blows away, LEAVE IT. Do not chase it into an area of possible DANGER. Alert the HEMS crew to the danger.

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Appendix 3: HLS Daily Inspection Template

NWRH HOSPITAL BURNIE HLS DAILY CHECKLIST Date/Time:…………Completed by:…………………Position:……… Yes

No

Keys Lift priority swipe card present HLS access key present HLS Deck HLS clear of any loose items Safety Net serviceable HLS lights functional check:  FATO  TLOF  Flight Paths  Windsock  Obstruction lights  Hospital HLS beacon  Flood lights (separate circuit) Functional manual check of PAL and flood lights circuit Windsock present and in good condition HLS Lift Lobby/Foyer Lift serviceable Access door to HLS deck serviceable Lift Lobby wall phone Foyer is clean and equipment is stored correctly Trolley present (if required) and operational 2 x full CD portable oxygen cylinders present PPE:  Disposable gloves present (small, medium, large)  Eye protection x 5 sets  Hand wash present  High visibility vests x 3 HLO, attendants Lobby lighting Fire Suppression Systems Fire Extinguishers (lift lobby):  1 x 90 L foam  1 x CO2 3.5 kg.  1 x Dry Powder 9.0 kg. Fire Extinguishers (emergency stairs):  1 x 9.0 kg. foam  1 x CO2 3.5 kg.  1 x Dry Powder 9.0 kg. Fire blanket (lobby) Deck drains Fire hose (lobby) Fire hydrant (car park area)

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68 The results from the Daily Checklist are to be checked and recorded in the HLS Daily Checklist Register held by the HLO. Any issues identified are to be reported to the HLSRO, NIC/AHNM. Rule for entries in Daily Checklist Register         

All entries in black ink All entries in chronological order All mistakes are to have a single line ruled through and initials of the person. All entries must have – date, time, name and signature Time is recorded in 24 hour time All lines must be filled out (Do not leave any blank lines) NO pencil NO correction fluid (white out) NO highlighters

Comments:

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Appendix 4: HLS Arrival/Departure Inspection Template

NWRH HOSPITAL BURNIE HLS ARRIVAL AND DEPARTURE CHECKLIST Date/Time:…………Completed by:……………………Position:……… Yes

No

Keys Lift priority swipe card present HLS access key present HLS Deck HLS clear of any loose items HLS lights functional check (prior to night operations only):  FATO  TLOF  Flight Paths  Windsock  Obstruction lights  Hospital HLS beacon  Flood lights (separate circuit) Confirm PAL lights off 45 minutes after activation Flood lights off HLS Lift Lobby/Foyer Lift Lobby wall phone Replenish any items used following departure Return trolley to lobby and confirm operational following departure Foyer is clean and equipment is stored correctly 2 x full CD portable oxygen cylinders present PPE replenished following departure:  Disposable gloves present (small, medium, large)  Eye protection x 5 sets  Hand wash present  High visibility vests x 3 HLO, WP, SNM Lobby lighting OFF The results from the HLS Arrival/Departure Checklist are to be checked and recorded in the HLS Arrival/Departure Checklist Register held by the HLO. Any issues identified are to be reported to the HLSRO, NIC/AHNM. Rule for entries in Daily Checklist Register         

All entries in black ink All entries in chronological order All mistakes are to have a single line ruled through and initials of the person. All entries must have – date, time, name and signature Time is recorded in 24 hour time All lines must be filled out (Do not leave any blank lines) NO pencil NO correction fluid (white out) NO highlighters

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70 Comments:

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Appendix 5: HLS Three Monthly Maintenance Inspection Template

NWRH HOSPITAL BURNIE HLS THREE MONTHLY MAINTENANCE CHECKLIST Date/Time:…………Completed by:……………………Position:……… Yes

No

Keys Lift priority swipe card present HLS access key present HLS Deck Surface undamaged Painted marking serviceable Safety Net and attachments serviceable HLS lights functional check:  FATO  TLOF  Flight Paths  Windsock  Obstruction lights  Hospital HLS beacon  Flood lights (separate circuit) Functional manual check of PAL and flood lights circuit Lower windsock and inspect for condition Windsock swivel bearing lubricate Windsock illumination lights serviceable Windsock obstruction light serviceable Hospital HLS beacon service as necessary HLS Lift Lobby/Foyer Lifts serviceable HLS deck access door serviceable Lift Lobby wall phone PAL controller serviceable Manual PAL override serviceable Flood light switch serviceable Lobby lighting serviceable Fire Suppression Systems (all to be confirmed in-date and serviceable) Fire Extinguishers (lift lobby):  1 x 90 L foam  1 x CO2 3.5 kg.  1 x Dry Powder 9.0 kg. Fire Extinguishers (emergency stairs):  1 x 9.0 kg. foam  1 x CO2 3.5 kg.  1 x Dry Powder 9.0 kg. Fire blanket Fire hose (lobby) Fire hydrant (car park area) Deck drains

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72 The results from the Three Monthly Maintenance Inspection are to be checked and recorded in the HLS Maintenance Inspection Register held by the NWRH Maintenance Department. Any issues identified are to be reported to the HLSRO, NIC/AHNM. Rule for entries in Three Monthly Maintenance Checklist Register         

All entries in black ink All entries in chronological order All mistakes are to have a single line ruled through and initials of the person. All entries must have – date, time, name and signature Time is recorded in 24 hour time All lines must be filled out (Do not leave any blank lines) NO pencil NO correction fluid (white out) NO highlighters

Comments:

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Appendix 6: Airservices Notification 6.1

Location Code Request

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6.2

HLS Reporting Officer Notification Form

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6.3

HLS Data Product Specification Form

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Appendix 7: NWRH HLS PC1 VFR Approach and Departure Paths Survey

Figure 34: PC1 VFR Approach and Departure Path and Transitional Surface Profile

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